Monday, September 27, 2010

Why might you administer iv morphine to organize a forgiving near acute pulmonary oedema?

Why might you administer iv morphine to organize a forgiving near acute pulmonary oedema?
Use of morphine sulfate in acute pulmonary edema reduce pulmonary venous return (preload reduction). The beneficial hemodynamic effect is probably due to anxiolysis, with a resulting drop in catecholamine production and moderate in systemic vascular resistance.
However, it may also contribute to a cutback in cardiac output that may head to a need for ICU acknowledgment and endotracheal intubation.
Pulmonary edema is an abnormal build up of fluid contained by the lungs, which leads to swelling. Usually pulmonary edema occur when there is unstable angina or heart fiasco. The initial treatment for angina is nitroglycerin but when the symptoms are not relieved then Morphine Sulfate is the subsequent drug of choice
Because it's a smooth muscle relaxant. It decreases myocardial oxygen constraint and it reduces preload on the heart. It also reduce anxiety in the lenient. Good link below.
Vasodilation cause decreased venous return to the right heart, lowering wadding pressure and ultimately lowering left atrial pressure.
If you want to receive sure they visit the ICU...it's a great view :(
Seems like we recurrently end up beside pts who have a decrease cardiac output, then we enjoy to tube them...

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