Pulmonary oedema - Prehospital treatment. Caution with morphine dosage

J. A. Chambers, C. J. Baggoley

Research output: Contribution to journalComment/debate

7 Citations (Scopus)

Abstract

Objective: To inform doctors of potential hazards if opioids are administered in excessive doses to patients with acute pulmonary oedema. Clinical features: Three elderly patients were unresponsive and hypotensive on arrival in the emergency department. All had received morphine parenterally as a component of pre-hospital treatment for acute pulmonary oedema. Interventions and outcome: All were given naloxone intravenously, regained consciousness and had a rise in blood pressure. Conclusion: Parenteral administration of opioids should be used with caution in acute pulmonary oedema. The authors present a protocol for pre-hospital drug therapy.

Original languageEnglish
Pages (from-to)326-328
Number of pages3
JournalMedical Journal of Australia
Volume157
Issue number5
DOIs
Publication statusPublished - 1992
Externally publishedYes

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