Section 8 - MEDICATION GUIDELINES
Morphine Sulfate / Analgesic
- It is a potent analgesic that also causes some vasodilatation. It reduces myocardial oxygen demand.
- Chest pain unrelieved by Nitroglycerin, in Pulmonary Edema, sickle cell anemia crisis, and in treatment of pain for burns.
- Significant hypotension, COPD, or hypersensitivity to the medication.
- It may cause respiratory depression. Naloxone should be readily available to counteract
the effects of Morphine Sulfate. DOSAGE
- Refer to appropriate PRACTICE PARAMETER for specific dosages.
- Pediatrics: 0.1 mg/kg, refer to Handtevy System for specific dosages
Nitrous Oxide (NITRONOX) / Analgesic
- It is a relatively weak anesthetic agent with both sedative and analgesic properties.
- Head injuries, chest injuries, COPD< pulmonary edema, pregnant patients under 20 weeks gestation, suspected bowel obstruction, decompression syndrome, and shock regardless of cause.
- May cause drowsiness, dizziness, respiratory depression, or arrest, nausea, vomiting, or euphoria. Pregnant EMS care providers, under 20 weeks gestation, should not be in the presence of NITROUS OXIDE due to the fact that it is an inert gas.
- Self-administered 50% Oxygen and 50 % Nitrous mixture.