Movies, Opiods

Shallow Hal

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Morphine Sulfate

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Doctor: Mrs. Larson.
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Doctor: He won’t be much longer Mrs. Larson
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Mrs. Larson: Is he in a lot of pain?

 

 

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Doctor: No, no, no. There will be no more pain for your husband. He’s heavily sedated.
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Mrs. Larson: Ok, I think I’m gonna go send in Hal now
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Doctor: No, no. I don’t think it’s such a good idea, with all the pain killers the reverent is not exactly himself.
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Mrs. Larson: I think the boy has the right to say goodbye to his father.
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Doctor: Well, your call.

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Hal (Jack Black) bids farewell to his father who’s heavily sedated and hallucinating due to the side effect of Morphine.

Morphine is narcotic or better known as an opiod drug that works by binding with opiod receptors and inhibit the transmission of severe pain. Morphine also acts to relieve anxiety by sedating the patient.

It treats acute pain.

  1. Pulmonary edema (Congestive Heart Failure)
  • Morphine decreases peripheral resistance
  • decrease venus return
  • blood in the lungs tranfer to other parts of the body
  • which decreases pressure in capillary arteries
  • resulting in decrease pain and decrease anxiety

2.  Myocardial Infarction

  • Reduces preload
  • decrease workload of the heart
  • relaxes bronchioles to enhance exit
  • decrease pain and anxiety
  • note for: st segment

3.  Burn

  • It is the analgesic of choice in treating acute burn pain.

It treats chronic pain.

  1. Cancer
  2. Neuropathic Disease
  3. Degerative Disease

Patients who are allergic to morphine may experience itching or pruritus and may be given an antihistamine and a different pain reliever as prescribed.

Vital signs should be monitored especially their respiratory rate for RESPIRATORY DEPPRESSION.

And although morphine does not cause myocardial deppression it affects the circulatory system and can lead to hypotension.

Naloxone hydroxide (Narcan) should be prepared at the bedside to reverse the side effect of morphine.

Morphine decreases the gastrointestinal motility which causes constipation, nausea and vomiting. Laxatives  and fiber rich foods are given to the patient.

Morphine is contraindicated in patients with respiratory disease, central nervous system disorder and kidney disorders.

Long term use of morphine may lead to drug dependence (there is an evidence of pinpoint constricted pupils, euphoria and impaired judgment) and the doctor changes to a different opiod before they put a stop to giving pain reliever. Note if the patient is experiencing withdrawal symptoms such as dilated pupils, diaphoresis, sneezing and watery eyes.

 

 

 

 

 

 

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