Hi all, just curious to see what you thought of this -
65 yo male admitted to ER for acute back pain following a slip or strain (I forget which). I give 10 mg Morphine and (I want to say 30 mg but can't remember) of Gravol IM to ventrogluteal. Pt has not had Morphine before that he remembers.
So 15 minutes later the wife hits the callbell and I return to find the pt diaphoretic++, breathing quickly and deeply, appearing anxious. He was warm and clammy all over, even his wrists were wet. Wife reports that his eyes were rolling back in his head. V/S were WNL but BP was about 20 points lower when it was taken 1hr previous. Pt reported pain 0/10.
I wasn't sure what to say as I haven't seen a reaction like this one. I asked another nurse and she said morphine could do that sometimes. I am curious about the mechanism of action in relation to this. Can anyone shed some light on why this might happen?
