Virtual Drug Bag

MORPHINE (JITSO)

PACKAGED:  5 mg in 1ml vial

LOCATION:  Not carried in drug bag

INDICATIONS:
Pain relief in suspected cardiac chest pain, trauma emergencies, extremity fractures, dislocations, sprains, frostbite, abdominal pain, Haz-Mat Hydrofluoric Acid (HF), unilateral back pain and other painful conditions.

ADULT: 
Up to 5 mg slow IV based on patient’s weight, provided SBP > 100.
Repeat Dose: May repeat up to 5 mg
If unable to establish IV, Morphine 5 mg IM

PEDI:
Pain relief in trauma emergencies, extremity fractures, dislocations, sprains, frostbite, pulmonary edema, abdominal pain, Haz-Mat Hydrofluoric Acid (HF) peds > 2 years old
0.1 mg/kg slow IV (max dose 5 mg) provided appropriate SBP.
Repeat Dose: 0.1 mg/kg, may repeat up to 5 mg.
If unable to establish IV, Morphine IM 0.1 mg/kg, max 5 mg

THERAPEUTIC ACTION:
Provides analgesia, reduces cardiac preload by increasing venous capacitance and decreasing afterload

CONTRAINDICATIONS:
Hypersensitivity to narcotics
Hypotension
Head injury, increased ICP
Severe respiratory depression
Patients who have taken MAO inhibitors within 14 days

PRECAUTIONS AND SIDE EFFECTS:
Hypotension, tachycardia, bradycardia, palpitations, syncope, facial flushing, respiratory depression, euphoria, bronchospasm, dry mouth, allergic reaction 
Use with caution in the elderly, those with asthma, and in those susceptible to CNS depression.
May worsen bradycardia or heart block in inferior MI (vagotonic effect)

REQUIRES MCP:
ADULT: No   
PEDI: Yes for repeat doses