Depressant effects are potentiated by the presence of other CNS depressants such as alcohol, sedatives, antihistaminics, or psychotropic drugs.
Patients on neuroleptics: Morphine may increase the risk of respiratory depression, hypotension and profound sedation or coma.
2 - 5 mg slow IV push (over 1 - 2 min.)
Repeat q 10-30 min. prn - maintaining blood pressure at > 100 systolic or as per local EP orders
0.1 - 0.2 mg/kg (diluted) slow IV (over 5 min.) or SC, IM.
See BCEHS Pediatric Dosage (BCEHS Peds Dosages) recommendations for age and weight-appropriate dosing information.
Be prepared to assist ventilations and to administer the narcotic antagonist naloxone (narcan) should you observe a decrease in LOC or decrease in respiratory effort after administration of morphine. This does not mean that you have to draw up Narcan or even have it pulled from the drug kit in preparation.
Morphine is a controlled substance and its use must be documented by the Paramedic according to the "Controlled Substance" policy.