Nurses General Nursing
Published May 3, 2012
an2on, BSN, RN
238 Posts
Is morphine still contraindicated for pancreatitis?
GitanoRN, BSN, MSN, RN
2,117 Posts
on this subject, originally it was thought that analgesia should not be provided by morphine because it may cause spasm of the sphincter of oddi and worsen the pain, so the drug of choice was meperidine. however, due to lack of efficacy and risk of toxicity of meperidine, more recent studies have found morphine the analgesic of choice. having said that, meperidine may still be used by some practitioners in more minor cases, or where morphine is contraindicated this may vary from one facility to another. although, in my book morphine is contraindicated with patients who suffer from pancreatitis. i hope i have answered your concerns...aloha~
brainkandy87
321 Posts
Solution: Dilaudid.
Morainey, BSN, RN
831 Posts
Yeah, usually our patients with pancreatitis get oodles of Dilaudid.
LPNnowRN
115 Posts
I know from exerience! Blocked off my common bile duct with a gallstone and had acute pancreatitis. Six day stay until discharged the day after my lap chole. Dilaudid works, but always made me throw up. I never asked for phenergan because I didn't want to be labelled a drug seeker, LOL!, but when the nurses asked I always accepted.
ckh23, BSN, RN
1,446 Posts
That's a shame. I wouldn't label someone a drug seeker if they ask for an anti-emetic with their dilaudid. Nausea can be a common side effect of narcotics.
nuangel1, BSN, RN
707 Posts
i have seen morphine used ,lots of it for pancreatitis .but now lots of dilaudid.demerol is not available in my er.
OhioCCRN, MSN, NP
572 Posts
My Institute uses morphine w/ pancreatitis. Some pts get Fentanyl and Dilaudid though...