What are Duramorph precautions?
DURAMORPH (morphine injection) should be used with extreme caution in patients with head injury or increased intracranial pressure. Pupillary changes (miosis) from morphine may obscure the existence, extent and course of intracranial pathology.
Why is pethidine contraindicated?
Use of pethidine should be avoided in patients with diabetic acidosis where there is danger of coma. It also contra-indicated in conditions associated with raised intracranial pressure and in head injury (opioid analgesics interfere with pupillary responses vital for neurological assessment).
What should be checked before giving morphine?
High Alert: Assess level of consciousness, BP, pulse, and respirations before and periodically during administration. If respiratory rate is <10/min, assess level of sedation. Physical stimulation may be sufficient to prevent significant hypoventilation. Subsequent doses may need to be decreased by 25–50%.
What is Duramorph used for?
This medication is used to treat severe pain. Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain.
What is morphine contraindicated?
Morphine sulfate is contraindicated in patients with acute or severe bronchial asthma or hypercarbia. Morphine sulfate is contraindicated in any patient who has or is suspected of having paralytic ileus. Respiratory depression is the primary risk of morphine sulfate.
What is the action of injection morphine?
Morphine injection is used to relieve moderate to severe pain. It may also be used before or during surgery with an anesthetic (medicine that puts you to sleep). Morphine belongs to the group of medicines called narcotic analgesics (pain medicines). It acts on the central nervous system (CNS) to relieve pain.
What is DURAMORPH epidural?
DURAMORPH is a systemic narcotic analgesic for administration by the intravenous, epidural or intrathecal routes. It is used for the management of pain not responsive to non-narcotic analgesics.
What are the adverse effects of epidural morphine?
[2][3] Other adverse reactions of morphine include gastrointestinal effects (constipation, nausea, vomiting), CNS effects (sedation, dizziness), cardiovascular effects (bradycardia, hypotension), urinary retention, and pruritus; it remains unclear if these side effects are dose-related.
When is epidural anesthesia contraindicated?
Contraindications to the use of a neuraxial (i.e., epidural or subarachnoid) technique include patient refusal, active maternal hemorrhage, septicemia, infection at or near the site of needle insertion and clinical signs of coagulopathy (Table 2).
What is the disadvantage of epidural?
The disadvantages of the epidural are that the patient has no control over the actions she will have during the birthing process because she’s going to be numb. Some patients don’t like that.
What are contraindications for epidural or spinal anesthesia?
There are major known contraindications to neuraxial anesthesia (spinal and epidural). The absolute contraindications are lack of consent from the patient, elevated intracranial pressure (ICP), primarily due to intracranial mass and infection at the site of the procedure (risk of meningitis).