¶ … Patient Overview -- Mr. C. is a 52-year-old business executive with indigestion that an entire roll of TUMS did not help. Initially he blamed this on his lunchtime pizza, but his staff convinced him to go to the ER where he presented epigastric pain. An EKG was done indicating ST segment elevation. Additionally, the pain remained unrelieved after three sublingual nitroglycerine tablets. Three doses of morphine sulfate given intravenously relieved the pain enough for a transfer to the cardiac unit. Mr. C's skin is clammy and cool; he has inspiratory crackles, temp of 98.6, 120 pulse, and respiration 24, BP 90/62. The Cardiac monitor showed sinus rhythm with occasional premature ventricular contractions (PVCS). Labs showed elevated isoenzymes,...
We find out also that Mr. C has been having dental pain for the past 48 hours.
At this stage, the drug produces no more depressive effects. Morphine has different effects at various concentrations The depressive curve is used to show the bad effect of morphine. It shows the concenrtaion of morphine over time before it becomes toxic to the user. The margin of safety should be large to avoid toxicity / poisoning. What is a margin of safety? It is the distance between the desired effect and the toxic
Nursing ISSUES WITH MORPHINE The importance of the proper management of pain in a patient with a terminal illness cannot be overstated (Broglio, 2008). Pain may not be the most common among the symptoms at the end-of-life stage, but it is what patients and their families fear the most. Unrelieved pain reduces the quality of life and of joy in what remains of that life. It triggers anxiety, depression, loss of
ANtoher common result of taking the drug would be higher blood pressure (obviously the intent based on the question) but also anxiety (due to the higher blood pressure if it goes too high), chest pain, tingling/pricking (also due to the blood pressure change) and so forth. 2. When monkeys with Kluver-Bucy syndrome pick up lighted matches and snakes, we do not know whether they are displaying an emotional deficit or
It was a love-hate situation, and he would be madly kissing her and letting her stir his carnal urges one moment, and the next he would loudly protest and pull away. So from that standpoint, Eben was changed after the death of the baby. He was not changed in a truly intelligent heart-felt way, but in a kind of acceptance that this is how it is (the current cliche,
With regard to the medication administration itself, in a life saving circumstance, which this clearly is not the weight of the potential for depression of respiration and cardiac status is clearly indicated, yet it would seem unethical under these circumstances, if the review of the documentation proves its validity and clearly indicates the patients wishes, to deny at least the smallest dosage (2mg) of ordered Morphine to reduce the
40-year male presented to the emergency room at 11 a.m. In the morning with complaint of pain all over his body. On history, he did not state that the pain was localized; rather he complained that his entire body was aching. The man was asked to lie down on the couch in the emergency room, while I started to review his vitals. His blood pressure was within the normal
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