University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2022
Views:

388

Pages:

2
Author:

ilikemyicons0y5

MILRINONE MORPHINE SULFATE NALBUPHINE Name/Class: MILRINONE (Primacor)/Cardiac Inotrope, Vasodilator Description: Milrinone is related to amrinone and increases the strength of cardiac contraction without increasing rate, increasing cardiac output without increasing oxygen demand. Indications: CHF or pediatric septic shock. Contraindications: Hypersensitivity. Precautions: Elderly, pregnancy, and nursing mothers. Dosage/Route: CHF: 50 mcg/kg IV over 10 min, then a drip of 0.375 to 0.75 mcg/kg/min IV. Ped: (septic shock) 50 to 75 mcg/kg IV, then a drip of 0.5 to 0.75 mcg/kg/min. Name/Class: MORPHINE SULFATE (Morphine)/Narcotic Analgesic Description: Morphine sulfate is a potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand. Indications: Moderate to severe pain and in MI and to reduce venous return in pulmonary edema. Contraindications: Hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension, or volume depletion, acute bronchial asthma, COPD, severe respiratory depression, or pulmonary edema due to chemical inhalation. Precautions: Elderly, children, or debilitated patients. Naloxone should be readily available to counteract the effects of morphine. Dosage/Route: Pain: 2.5 to 15 mg IV; 5 to 20 mg IM/subcutaneous. Ped: 0.05 to 0.1 mg/kg IV; 0.1 to 0.2 mg/kg IM/subcutaneous. AMI or PE: 1 to 2 mg/6 to 10 min to response. Name/Class: NALBUPHINE (Nubain)/Narcotic Analgesic Description: Nalbuphine is a synthetic narcotic analgesic equivalent to morphine, though its respiratory depression does not increase with higher doses. Indications: Moderate to severe pain. Contraindications: Hypersensitivity, undiagnosed head or abdominal injury. Precautions: Impaired respirations, narcotic dependency. Dosage/Route: 5 mg IV/IM/subcutaneous, repeat as 2 mg doses as needed up to 20 mg. Ped: 0.1 to 0.15 mg/kg IV/IM/subcutaneous (rarely used).