What is your take on morphine and pancreatitis?

[an2on, BSN, RN]

Is morphine still contraindicated for pancreatitis?

[GitanoRN, BSN, MSN, RN]

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]

Solution: Dilaudid.

[Morainey, BSN, RN]

Yeah, usually our patients with pancreatitis get oodles of Dilaudid.

[LPNnowRN]

Solution: Dilaudid.

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]

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.

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]

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]

My Institute uses morphine w/ pancreatitis. Some pts get Fentanyl and Dilaudid though...