Podcast
Questions and Answers
What is the primary advantage of using morphine in acute pulmonary edema?
What is the primary advantage of using morphine in acute pulmonary edema?
Which of the following is a contraindication for the use of morphine?
Which of the following is a contraindication for the use of morphine?
What is the analgesic potency of meperidine compared to morphine?
What is the analgesic potency of meperidine compared to morphine?
Why is meperidine used in inferior myocardial infarction instead of morphine?
Why is meperidine used in inferior myocardial infarction instead of morphine?
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What is a common adverse effect of morphine in infants and older patients?
What is a common adverse effect of morphine in infants and older patients?
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What is the benefit of using morphine in head injury patients with increased intracranial pressure?
What is the benefit of using morphine in head injury patients with increased intracranial pressure?
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Why is morphine used as an adjuvant to anesthetic agents?
Why is morphine used as an adjuvant to anesthetic agents?
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Study Notes
Opioid Analgesics
- Relieve or decrease pain sensation without loss of consciousness and can induce physical dependence
Morphine
- Used for severe pain, such as acute MI, cancer, and surgery
- Treats acute pulmonary edema (cardiac asthma) by decreasing stress and anxiety, venodilatation, and preload
- Used as an adjuvant to anesthetic agents
- Contraindications:
- Head injury and increased intracranial pressure
- Respiratory depression
- Bronchial asthma
- Biliary colic and gallstones
- Enlarged prostate
- Hypotension and hypovolemia
- Hepatic damage
- Hypothyroidism and adrenal insufficiency (Addison's disease)
- Undiagnosed acute abdominal pain (may be appendicitis)
- Infants and old patients (more susceptible to respiratory depression)
Meperidine (Pethidine)
- 10% analgesic potency of morphine
- Used as an alternative to morphine in:
- Inferior MI (patient has bradycardia)
- Labor (short duration, doesn't prolong labor)
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Description
Learn about opioid analgesics, their uses, and effects on pain management and the body. Understand their role in relieving pain, reducing anxiety, and inducing physical dependence.
