Morphine
ADULT:
Chest pain of a cardiac nature, (CHF or Pulmonary Edema - BHO):
5 mg SDV IV titrated to pain, may repeat once SO in 3 min
Pain: See indications below: (IO for Crush / Burn Injury only)
5 mg mg IVP / IO, may repeat once SO in 3 min
5 mg mg IM SDV, may repeat once SO in 3 min
***Single dose vials (SDV) approved for IV, IM, and IO***
PEDS:
Pain isolated skeletal trauma, burns, amputations, crush (BHC for < 2y/o):
Over 2 years old:
0.1 mg/kg slow IV / IM, may repeat once SO in 3 min.
Under 2 years old: Base Hospital Order
0.1 mg/kg slow IV / IM, may repeat once SO in 3 min.
INDICATIONS:
- Moderate to severe pain (≥ 5)
- CP of suspected cardiac origin - SO (IV Only)
- Burns - SO
- Isolated extremity trauma - SO
- Amputation/De-gloving - SO
- Snake Bites - SO
- Eye injury - SO
- Impaled objects - SO
- Crush Injury - SO
- Kidney stones, abdominal pain, flank pain - SO
- Back pain - BHO
- Isolated Head trauma - BHO
- Acute Pulmonary Edema/CHF - BHO
CONTRAINDICATIONS:
- Multi-system trauma
- Hypovolemia
- BP < 90 systolic for Adults
- BP < 80 systolic for PEDS
- Use caution with Fentanyl and Versed BHO