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I've been noticing in that when patient have orthopedic pain the don't respong as well with morphine. Put when we give them po med them seem to do well. Is just my imagination or there actual physiologie to support such?
I've seen the same thing with bone breaks...IV morphine just doesn't seem to do the trick. I know that morphine has an incredibly short half life and I think that it may just leave too quickly to really be effective. We usually switch to percs for such patients.