What should I monitor after morphine?
Controlling pain, which is usually the first symptom evaluated in patients, is the ultimate goal of morphine use. Other essential parameters requiring monitoring include mental status, blood pressure, respiratory drive, and misuse/overuse.
How long does Duramorph spinal last?
Intrathecal Adult Dosage A single injection of 0.2 to 1 mg may provide satisfactory pain relief for up to 24 hours. (CAUTION: THIS IS ONLY 0.4 TO 2 ML OF THE 5 MG/10 ML AMPUL OR 0.2 TO 1 ML OF THE 10 MG/10 ML AMPUL OF DURAMORPH).
Does DURAMORPH cause urinary retention?
Urinary retention, which may persist 10 to 20 hours following single epidural or intrathecal administration, is a frequent side effect and must be anticipated primarily in male patients, with a somewhat lower incidence in females.
How is DURAMORPH used in maternity patients?
It is used for the management of pain not responsive to non-narcotic analgesics. DURAMORPH (morphine injection) administered epidurally or intrathecally, provides pain relief for extended periods without attendant loss of motor, sensory or sympathetic function.
How is opiate induced urinary retention treated?
Drug-induced urinary retention is generally treated by urinary catheterization, especially if acute, in combination with discontinuation or a reduction in dose of the causal drug.
What are side effects of DURAMORPH?
Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, increased sweating, or dry mouth may occur. Pain, redness, or swelling at the injection site may occur if this medication is given into a muscle or under the skin.
What are DURAMORPH precautions?
DURAMORPH (morphine injection) should be used with extreme caution in patients with head injury or increased intracranial pressure. Pupillary changes (miosis) from morphine may obscure the existence, extent and course of intracranial pathology.
Can opiates cause urinary problems?
clinicians prescribe a variety of medications for symptom management, including opiates, antipsychotics, antispasmodics, benzodiazepines and antidepressants. All of these medications can cause clinically significant urinary retention.
Will urinary retention go away?
Urinary retention is treatable, and there is no need to feel embarrassed or ashamed. A doctor can often diagnose the problem. However, in some cases, a person may need a referral to a urologist, proctologist, or pelvic floor specialist for further testing and treatment.
Which drugs cause urinary retention?
Pharmacologic Agents Associated with Urinary Retention
| Class | Drugs |
|---|---|
| Antipsychotics | Chlorpromazine (Thorazine*); fluphenazine (Prolixin*); haloperidol (Haldol); prochlorperazine (Compazine*); thioridazine (Mellaril*); thiothixene (Navane) |
| Hormonal agents | Estrogen; progesterone; testosterone |
How long does postpartum urinary retention last?
The results showed that most patients with PUR experience recovered bladder function within 7 days and that persistent PUR is a rare postpartum complication [22].
How serious is urinary retention?
Acute urinary retention can cause severe pain and be life threatening. If you are suddenly unable to urinate, it’s important that you seek emergency medical treatment right away.
When is urinary retention an emergency?
Acute urinary retention needs urgent medical attention and your bladder may need to be emptied using a urinary catheter, which is a long soft tube. See your doctor right away or go to the emergency department if you cannot urinate at all or you are in pain in your lower tummy or urinary tract area.
How do you fix postpartum urinary retention?
Postpartum Urinary Retention. Home remedies: timed voiding—urinating on a set schedule, and double voiding—voiding once, then voiding again in 10-15 to ensure complete drainage. Prescribed drugs. If you are breastfeeding, you would need to discuss the effects of the drugs in detail with your doctor.
Can’t fully empty bladder postpartum?
Following the birth of your baby, you may have difficulty emptying your bladder or have changes to the normal sensation to pass urine. If the bladder is not emptying properly then the urine that is left behind can build up over time, this is known as Urinary Retention.
Can urinary retention damage kidneys?
Kidney damage — Sometime urinary retention can cause urine to flow back into the kidneys. This is called reflux and can damage or scar the kidneys. Urinary incontinence (after prostate, tumour, or cancer surgery) — Transurethral surgery to treat an enlarged prostate can result in urinary incontinence in some men.
When should you go to the hospital for urinary retention?
What happens if urinary retention is not treated?
If urinary retention is not treated, your bladder may become stretched too far or for long periods. When stretched too far or for too long, the muscles in your bladder may become damaged and no longer work correctly. Kidney damage.
How long does it take for your bladder to go back to normal after pregnancy?
Most women who leak urine after childbirth find that it goes away in the first few weeks, as the stretched muscles and tissues recover. However, for some women it can take months while other women find their pelvic floor never recovers fully.
What are the dangers of urinary retention?
What are the complications of urinary retention?
- Urinary tract infection. When your urinary tract is emptying completely, bacteria that normally enter your urinary tract are flushed out when you urinate.
- Bladder damage.
- Kidney damage.
- Urinary incontinence.
What are the side effects of astramorph PF?
Astramorph PF side effects 1 Difficult or troubled breathing 2 irregular, fast or slow, or shallow breathing 3 pale or blue lips, fingernails, or skin 4 shortness of breath 5 very slow breathing
What is astramorph PF injection used for?
Astramorph PF (Injection) 1 Commonly used brand name (s) 2 Uses for Astramorph PF. Morphine injection is used to relieve moderate to severe pain. 3 Before using Astramorph PF. 4 Proper use of Astramorph PF. 5 Precautions while using Astramorph PF. 6 Astramorph PF side effects. 7 Further information.
What are the contraindications for astramorph/PF?
Astramorph/PF is contraindicated in those medical conditions which would preclude the administration of opioids by the intravenous route—allergy to morphine or other opiates, acute bronchial asthma, upper airway obstruction.
How long should you wait between doses of astramorph/PF?
(NOTE: INTRATHECAL DOSAGE IS USUALLY 1/10 THAT OF EPIDURAL DOSAGE.) PATIENT MONITORING SHOULD BE CONTINUED FOR AT LEAST 24 HOURS AFTER EACH DOSE, SINCE DELAYED RESPIRATORY DEPRESSION MAY OCCUR. Proper placement of a needle or catheter in the epidural space should be verified before Astramorph/PF is injected.