Page 332 - ATP-P 11th Ed

Mobic – See Meloxicam
®
Motrin – See Ibuprofen
®
Morphine Sulfate (Opioid)
GROUNDING medication for personnel on flight status
Description: Narcotic analgesic – alters perception of pain and emotional response to pain.
• Have naloxone (Narcan ) available when using morphine.
®
• Alters perception and emotional response to pain.
Indications:
• Severe pain
• Pain from cardiac ischemia
Adult dose: 4–15mg IV/IM slow push. Titrate to response.
Pediatric dose: 0.1–0.2mg/kg IM/IV. Do not exceed 15mg.
SECTION 3 Side-effects:
Sedation: 1mg/kg morphine plus 0.3mg/kg midazolam plus 5mg/kg ketamine IM
• Reduced RR
• Hypotension
• Bradycardia
• Nausea
• Vomiting
• Dizziness
• Pruritus
• Skin flushing
K9 Dose:
• Acute pain: 10–30mg IM
• Sedation: 1mg/kg morphine plus 0.3mg/kg midazolam plus 5mg/kg ketamine IM
Contraindications:
• Respiratory depression
• Hypotension
• Head injury
Pregnancy Category B
Adverse reactions:
• Seizures with large doses
• Constipation
• Ileus
• Urinary retention
TMEP use:
• Chest Pain Protocol

322 SECTION 3 RECOMMENDED DRUG LIST (RDL)