Page 1 of 2: pharmac-morphine

shraddha · Credits: 19570 My Scrapbook

opiod analgesic suitable in hemodynamically unstable patient
1.morphine
2.meperidine
3.fentnyl
4.pentzocine

BRAVO · Credits: 45300 My Scrapbook

morphine

dr4jc · Credits: 4396 My Scrapbook

yea morphine is used for pain relief in myocardial infarction which is an hemodynamically unstable condition...pentazocine causes rise in BP...

trinity · Credits: 13371 My Scrapbook

I think ans given was fentanyl!!!!

jayanta · Credits: 34262 My Scrapbook My Reading List 45 Books

WHAT ABOUT "PENTAZOCINE?"

trinity · Credits: 13371 My Scrapbook

pentazoscine causes tachycardia & rise in BP due to sympathetic stimulation.

guys KDT says that morphine causes fall in BP. It is used in MI coz it decreases the wrkload on heart & coz it shifts blood from pulmonary to systemic circuit. Nowhere is it mentioned that it can be used in a hemodynamically unstable patient.

even though the dont mention for fentanyl either, atleast it says fentanyl produces minimum cvs effects.

So amongst the options I think fentanyl is the best answer.according to me. Though if tramadol is there in the options, then that wld be the best choice, coz KDT clearly mentions (5th ed pg 426) that hemodynamic effects are minimal with tramadol.

jayanta · Credits: 34262 My Scrapbook My Reading List 45 Books

THANKS,TRINITY.

trinity · Credits: 13371 My Scrapbook

anytime

drnarya · Credits: 10913 My Scrapbook

fentanyl!!!!

jaggs · Credits: 231 My Scrapbook

pentazocine is contraindicated in MI 'coz pentazocine increase the cardiac oxygen demand and not becouse its c/i in hemodynamically unstable patients.

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