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when administering morphine to terminally ill people,what is the maxium dose given with out overdosing and dying?
Carpuject?
no
ECg MONITOR bleeding, bradycardia
Yes, IV Benadryl and IV morphine are compatible. They can potentate each other making it is very importation to monitor reparations. To avoid potential harm one should start at with a small dose and repeat the dose if needed. Anyone reasonable for administering IV medications should be well aware of compatibility issues.
morphine, demerol
monitor vs..
If in hospice, IVs are used for morphine drips, and that is about all.
There are no specific treatments for abulia. The underlying condition should be treated such as administering antidepressants or electroconvulsive therapy to depressed patients or antipsychotic medications to schizophrenic patients.
If the patient is suffering from terminal cancer the time left can be anything from days to to a week. There have been some rare occasions when patients have survived for a couple of weeks or more. The main point to remember is that the administering of morphine is for pain relief and the objective of the nursing staff will be to keep the patient comfortable and pain free. Morphine syringe drivers are usually used because it is difficult to administer pain relief in other ways such as orally. The driver will give regular and equal amounts of morphine shots which should ensure that the patient feels no pain.
CNS Depressants Concurrent use of MS CONTIN and other central nervous system (CNS) depressants including sedatives or hypnotics, general anesthetics, phenothiazines, tranquilizers, and alcohol can increase the risk of respiratory depression, hypotension, profound sedation or coma. Monitor patients receiving CNS depressants and MS CONTIN for signs of respiratory depression and hypotension. When such combined therapy is contemplated, reduce the initial dose of one or both agents. Mixed Agonists/Antagonist Opioid Analgesics Mixed agonist/antagonist analgesics (i.e., pentazocine, nalbuphine, butorphanol) may reduce the analgesic effect of MS CONTIN or may precipitate withdrawal symptoms in these patients. Avoid the use of agonist/antagonist analgesics in patients receiving MS CONTIN. Muscle Relaxants Morphine may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression. Monitor patients receiving muscle relaxants and MS CONTIN for signs of respiratory depression that may be greater than otherwise expected. Monoamine Oxidase Inhibitors (MAOIs) The effects of morphine may be potentiated by MAOIs. Monitor patients on concurrent therapy with an MAOI and MS CONTIN for increased respiratory and central nervous system depression. MAOIs have been reported to potentiate the effects of morphine anxiety, confusion, and significant depression of respiration or coma. MS CONTIN should not be used in patients taking MAOIs or within 14 days of stopping such treatment. Cimetidine Cimetidine can potentiate morphine-induced respiratory depression. There is a report of confusion and severe respiratory depression when a patient undergoing hemodialysis was concurrently administered morphine and cimetidine. Monitor patients for respiratory depression when MS CONTIN and cimetidine are used concurrently. Diuretics Morphine can reduce the efficacy of diuretics by inducing the release of antidiuretic hormone. Morphine may also lead to acute retention of urine by causing spasm of the sphincter of the bladder, particularly in men with enlarged prostates. Anticholinergics Anticholinergics or other medications with anticholinergic activity when used concurrently with opioid analgesics may result in increased risk of urinary retention and/or severe constipation, which may lead to paralytic ileus. Monitor patients for signs of urinary retention or reduced gastric motility when MS CONTIN is used concurrently with anticholinergic drugs. P-Glycoprotein (PGP) Inhibitors PGP-inhibitors (e.g., quinidine) may increase the absorption/exposure of morphine sulfate by about two-fold. Therefore, monitor patients for signs of respiratory and central nervous system depression when MS CONTIN is used concurrently with PGP inhibitors.
Medicines help patients find temporary relief from pain. When patients have severe pain they may be prescribed morphine to help the feel better..