Morphine's Pain Regimen

Narcotic analgesics, especially morphine are underused for pain control with in the medical field. This underuse is because medical professionals, including doctors, fear patient addiction, side effects and possible lose of their licenses. These fears deny adequate healing and a better quality of life to those who would benefit from a more effective use of these drugs, as done in hospice care.

Fun fact, in the UK, some hospitals use diamorphine, a generic name of heroin to prescribed as a strong pain medication in patients suffering from myocardial infarction, post-surgical pain, and chronic pain, including end-stage cancer and other terminal illnesses. It is still given over there, instead of using Morphine, because some hospital state it a lot better from pain

On 5/30/18 I met Mr. Reid at the office of Dr. Rampersaud. I explained that the insurance carrier is not getting the form filled out correctly regarding his narcotic medications. I asked his permission to meet with Dr. Rampersaud when they go back to the examination room and leave once we discussed the form. Mr. Reid agreed. He reports that since having the spinal cord stimulator battery replaced his pain is 60% better. He reports his pain level is a 6. He continues to have his legs give out unexpectable. He reports needing help from his wife to roll him over when he is in bed. He continues to use a wheelchair. Mr. Reid said he wanted to speak with Dr. Rampersaud regarding decreasing his medications at least for the summer. He feels the warm weather makes his pain more tolerable.

Per progress report dated 03/04/16, the patient complains of pain of pain in the neck and lower back. Current medication is for Norco and Gabapentin.

As per progress report on 5/24/16, the patient is still having a lot of low back pain that radiates to his lower extremities. He continues to find his

D.D has no known allergies and his current vital signs are 36.8F, 115 pulse, 25 RR, 102/77, 91% SpO2. His lab work is all normal except for elevated WBC and glucose. D.D is put on a morphine PCA pump (1.78mg every 2 hours) to help regulate his pain, metronidazole (1500mg once a day) and cefTRIAXone in dextrose (2000mg once a day) to help fight the infection, oxyCODONE (3.6mg every four

Understanding medications and relating them to a patient’s care is a legal requirement for the RN. Morphine an opioid analgesic is for moderate to severe pain which has respiratory suppression as the main side effect, naloxone and resuscitation equipment should be close by to reverse this effect. (Tiziani, 2013). Glyceryl trinitrate (GTN) used for chest pain, works by causing vasodilation to the blood vessels therefore increasing blood flow to the heart, the risk of repeated doses may lead to hypotension (Tiziani, 2013). Aspirin is used as an antiplatelet for Mr Jones and given for a suspected myocardial infarction (MI) due to plaque that may have broken away within a coronary artery and formed a blood clot that leads to a blockage (Tiziani,

Philippe Lucas’s article “Cannabis as an Adjunct to or Substitute for Opiates in the Treatment of Chronic Pain” recommends using cannabis instead of opiates to relieve chronic pain. He also proposes cannabis may be used to treat prescription opiate abuse by patients suffering from chronic pain and depicts cannabis as a medicine and not a gateway drug. Lucas suggests national governments abandon misinformation emphasizing drug prohibition and start supporting the claim that cannabis effectively treats a variety of illnesses including chronic pain, and is a possible “drug exit” for problematic substance abuse. Appeals to logos, ethos, and pathos are frequently present, creating the ideal balance of evidence and theory regarding medicinal cannabis and opiates.

Morphine abuse and addiction treatment is a concern for involved with drug monitoring, policy makers, law enforcement officials and many more. Morpheus McGee is a fictional character for the sole purpose of demonstrating the signs and treatment of narcotic opioid abuse and addiction. The narcotic being abuse is a pain reliever known as morphine. Morphine traces its pharmaceutical origins back to the opium poppy, flowering plants native to southwestern Asia. Narcotic is a term that has been generalized by law enforcement to cover a widespread of drug classes. For the circumstances of this article, narcotics are to be used in referring to opioids deriving from the poppy and their related synthetics. Addiction may begin without signs

On admission, Ms. Kelly complained of low back pain ranging in intensity from 7 to 8, out of 10, on the pain scale where 0 is no pain and 10 is the worst imaginable pain. She subjectively describes this pain as throbbing, stabbing, burning and radiating down into both legs, left worse than right. In addition, she has sharp, stabbing, burning pain in both her arms, left worse than right, and experiences intermittent tingling and numbness sensations in both her hands. She has pain in her neck and shoulder that she defines as tension-type pain. Factors that can aggravate the pain include

After analyzing findings from the initial evaluation the patient’s primary issue is severe right hip/knee pain which is limiting his ability to participate in PT, as well as perform functional activities. Therefore, identifying the source of pain is the main priority since the patient’s pain is 5/10 at rest and 7/10 with bed mobility, transfers, and ambulation. Taking into consideration the high pain levels and unknown source; the patient was discharged and recommended to follow up with his MD. This being said, below are potential concerns involving the combination of medications and impairments during interventions if this patient remained in Neuro Clinic with minimal pain.

The use of paramedicine plays an important role in the care of individuals in need of emergency medical services across the United States. Paramedics, in quick response situations, use paramedicine to treat these individuals in the pre-hospital setting. Many individuals, families, and communities rely on these paramedics to provide accurate treatment and pain management in a timely manner. The two most common pain management options available to paramedics in the pre-hospital setting are Morphine and Fentanyl. There have been many debates over whether Morphine or Fentanyl is safer and more effective in the pre-hospital setting. There have been minimal studies comparing the drugs side by side. The differences between Morphine and Fentanyl

This is 27 year old AAF Patient reports lower back pain, 10/10. Patient states this is a chronic issue for her, but for the past 2 weeks pain has increased where it is affecting her ADL. Patient denies chest pain,SOB, N/V/D, or fever. Patient denies any other medical conditions. Including DM, HTN. Patient reports some depressive moods related to her current illness (back pain. Patient denies use of tobacco, alcohol or illicit drug

Acute Pain is detected by nociceptors which transmit electrical signals through the A-delta and C-fibres to the central nervous system from the pituitary gland (Steeds, 2013). In response to the signals from the hypothalamus, the pituitary gland synthesises beta-endorphins which bind to the mu receptors at the openings of the synaptic nerve terminals (Sprouse-Blum, Smith, Sugai & Parsa, 2010). Morphine is commonly used in the treatment and prevention of sever acute pain. To be an effective pain relief it must be absorbed into the bloodstream. If taken orally, the short lived drug has to make its way through various layers of mucus in the gastrointestinal tract before it eventually

Based on the progress report dated 11/08/16 by Dr. Yuan, the patient reports that her upper back pain has gotten worse on the last 2 days, since the last visit. Pain is described as sharp and intermittent, rated as 6/10. Hs e is taking medications with little benefits and applying lotion with benefits. She has not been coming to therapy because she does not like the service/therapist. She reports that gel seem to help. She has been taking over-the-counter ibuprofen. She wants