ABOUT MORPHINE CONTRAINDICATIONS

It is the main alkaloid of opium and a Known hypersensitivity to

powerful pain killer, as well as a strong morphine.
sedative. It reduces venous tone and

MORPHINE systemic vascular resistance leading

to reduction in preload and after load.
Morphine gets absorbed irregularly
NARCOTIC ANALGESICS through GIT, though it’s administered
parenthatically. The peak of analgesia
after an intravenous injection achieves
the peak value within half an hour and
it lasts for three to five hours.
Respiratory or CNS depression
with impending respiratory
failure unless the patient is
already intubated or equipment
is available and trained
personnel are standing by for
intervention if necessary with
intubation or the reversal agent
naloxone.

Suspected head injury.

INDICATIONS Morphine may obscure or cause
exaggerated CNS depression.

A severe pain resulting from black widow

spider envenomation, rattlesnake
envenomation, and others bites or
stings.

Injury related pain that is corrosive in

nature with respect to the eye, the skin
and the digestive tract.

Congestive heart failure leading to

pulmonary edema. Noncardiogenic
pulmonary edema with chemical origin
does not mean that morphines are
prescribed.

ADVERSE EFFECT
Respiratory and CNS depression
may result in respiratory arrest.
Depressant effects may be
prolonged in patients with liver
disease and chronic renal failure.
Hypotension may occur owing to
decreased systemic vascular
resistance and venous tone.
Nausea, vomitig, and constipation
may occur.
Bradycardia, wheezing, flushing,
pruritus, urticaria, and other
histamine-like effects may occur.
Sulfite preservatives in some
parenteral preparations may cause
hypersensitivity reactions.
PATIENT / FAMILY
TEACHING
Instruct the patient on how and
GROUP 1 when to ask for pain medication. Do
not stop taking it without
discussing it with a healthcare
professional; may cause
withdrawal symptoms if
CAYABYAB, JOHN LAWRENZ discontinued abruptly after
CAYETANO, HANNA VIOLEZA prolonged use.
COLUMBRES, VINCE MATTHEW Advise the patient that morphine is
CONCEPCION, KORINA a drug with known abuse potential.
Protect it from theft, and never give
COSTAMERO, JOANA LEE
it to anyone other than the
ESTRAELA, ALEIA GLYNETTE individual for whom it was
prescribed. Store out of sight and
reach of children, and in a location
not accessible by others.
“EVERY FORM OF ADDICTION IS Advise the patient to change
BAD, NO MATTER WHETHER positions slowly to minimize
THE NARCOTIC BE ALCOHOL orthostatic hypotension.
OR MORPHINE OR IDEALISM.”
-CARL JUNG