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The uses of medical morphine essay
The uses of medical morphine essay
The uses of medical morphine essay
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Morphine is a highly addictive opiate psychoactive painkiller. It is often used before or after surgery to alleviate severe pain. Morphine acts by attaching to specific proteins called opioid receptors, which are found in the brain, spinal cord, and gastrointestinal tract. The drug was originally derived from the poppy seed plant before it was chemically enhanced and manufactured. Starting off, the drug was used to cure alcoholism and certain types of addictions. This didn’t last very long considering morphine was found to be much more addictive than alcohol. In the early 1900s, morphine was identified as a controlled substance under the Harrison Act. The Harrison Act was put in place to control morphine by making it only legal for those with a prescription for the drug to carry and use it. It is now considered a Schedule I&II drug, which basically defines the levels of enforcement against the drugs. At the time, morphine was the most commonly abused drug, because of its mind-numbing, and reality shattering capabilities.
As a pain killer, morphine is used in hospitals around the United States for pain management and post-surgery. The main types of consumption is through smoking, snorting, rectal, I.V, orally, and through injection. A pump can also be used to administer the drug to the patient. Most times pumps are used in extreme cases of nerve disorders which usually entail a catheter being microscopically implanted into the spinal cord. The use of a pump is normally for pain management. Pumps are filled with a months or less supply of the drug, which is administered from the abdomen to the spinal area of pain. It basically numbs erratic nerve function and allows a normal life to be had by the patient. Morphine can also be us...
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...e acute withdrawal period systolic and diastolic blood pressure increase, usually beyond pre-morphine levels, and heart rate increases, which could potentially cause a heart attack, blood clot, or stroke.
Morphine has been used for many years in different cultures, and for different reasons. It has been abused, demolished, revived, and manufactured. It has saved many lives and ruined many more. It is the drug of choice for many who feel they need something to numb out the bad, and forget about the real. It is also the prescription of choice for men and women who just want to have their lives back. Although morphine addicts go through hell during their withdrawal stages, and how awful the drug can be through abuse, it offers very much to a wide array of patients suffering from diseases such as cancer, severe back pain, kidney stones, and pain associated in trauma.
Before the mid 1900’s the Harrison Narcotics Tax Act was formed to tax those making, importing or selling any derivative of opium or coca leaves. In the 1920s, doctors became aware of the highly addictive nature of opioids and started to avoid treating patients with them (Center, 2004). In 1924 heroin became illegal. However according to a history published in the Journal of the American Medical Association in 2003, anesthesiologists opened "nerve block clinics" in the 1950s and 1960s to manage pain without having to resort to surgery (Meldrum, 2003). This push for treating pain without surgery was a major factor in the opioid epidemic we see today. In 2008 the overdose death rate was almost four times the rate in 1999, and the sales of prescription pain relievers in 2010 were four times higher than in 1999 (Paulozzi et al, 2011). The substance use disorder treatment admission rate is also greater than in 1999, with it having been six times higher in 2009. Chasing Heroin’s claims surrounding the fear of prescribing pain medications is accurate as you see an increase in public policies surrounding opiate use in the early 1900’s. The climbing rates of overdose deaths and the increased amount of people seeking addiction treatment suggests that the fear of prescription opiates was
Patient-controlled analgesia by way of an infusion pump allows patients experiencing moderate to severe pain as a result of surgery, trauma, cancer, and other chronic conditions, to administer their own pain medication. The most common type of medication used in infusion pumps today are opioid analgesics, because of their effectiveness and availability (Chumbley & Mountford, 2010). PCA infusion pumps provide the analgesia via intravenous or epidural routes allowing for almost instantaneous pain relief verses the delay in having the nurse prepare and administer each dose as needed. These pumps allow analgesia to be delivered with a basal (background) infusion rate, a bolus (pati...
Almost one hundred years ago, prescription drugs like morphine were available at almost any general store. Women carried bottles of very addictive potent opiate based pain killers in their purse. Many individuals like Edgar Allen Poe died from such addictions. Since that time through various federal, state and local laws, drugs like morphine are now prescription drugs; however, this has not stopped the addiction to opiate based pain killers. Today’s society combats an ever increasing number of very deadly addictive drugs from designer drugs to narcotics to the less potent but equally destructive alcohol and marijuana. With all of these new and old drugs going in and out of vogue with addicts, it appears that the increase of misuse and abuse is founded greater in the prescription opiate based painkillers.
In 1906, the Pure Food and Drug Act, that was years in the making was finally passed under President Roosevelt. This law reflected a sea change in medicine-- an unprecedented wave of regulations. No longer could drug companies have a secret formula and hide potentially toxic substances such as heroin under their patent. The law required drug companies to specify the ingredients of medications on the label. It also regulated the purity and dosage of substances. Not by mere coincidence was the law passed only about five years after Bayer, a German based drug company began selling the morphine derivative, heroin. Thought to be a safe, non-habit forming alternative to morphine, heroin quickly became the “cure-all drug” that was used to treat anything from coughs to restlessness. Yet, just as quickly as it became a household staple, many began to question the innocence of the substance. While the 1906 law had inherent weaknesses, it signaled the beginning of the end for “cure-all” drugs, such as opiate-filled “soothing syrups” that were used for infants. By tracing and evaluating various reports by doctors and investigative journalists on the medical use of heroin, it is clear that the desire for this legislative measure developed from an offshoot in the medical community-- a transformation that took doctors out from behind the curtain, and brought the public into a new era of awareness.
Where did this drug come from and what makes it different from any other drug that is on the market? Heroin's origins go back long before Christ was a bleep on the radar. It goes back to 1200 B.C. Or the Bronze Age. At that time how ever heroin would be known as its chemically altered state of the poppy seeds. Even at that time however the ancient peoples of that time knew that if the poppy seeds juice were collected and dried. the extract that was left behind could make a effective painkiller. This would later be named opium. There were small incidents of it appearing in Europe, for instance it was used by the gladiators in the Roman Colosseum. But as a whole it would take more then a millennium for opium to travel from the Middle East to the Europe. This only occurred do to crusades. In just a few hundred after that is went from a rarely used painkiller to a liquid that was said to cure all aliments and would even lead to the most humiliating defeat China Empire. In the 1803 opium became dwarfed by its new brother morphine which is named in honor of the Greek god Morpheus who is the god of dreams. Morphine is an extract of opium and is ruffly 10 times the strength of its counter part. After Morphine creation it was put to used almost at once to assist battle field victims. This was a mistake however, because this refined does of opium is also 10 times more addicting then it was in its original form. Hundreds of thousands of soldiers would retur...
Hospitals may use them for pain management for trauma-related injuries, cancer or post-surgery, and The Premier Safety Institute states that chronic pain is relieved using opioids on a short-term basis.
Opioids are used as pain relievers and although it does the job, there are adverse side effects. Opioids are frequently used in the medical field, allowing doctors to overprescribe their patients. The substance can be very addicting to the dosage being prescribed to the patient. Doctors are commonly prescribing opioids for patients who have mild, moderate, and severe pain. As the pain becomes more severe for the patient, the doctor is more likely to increase the dosage. The increasing dosages of the narcotics become highly addicting. Opioids should not be prescribed as pain killers, due to their highly addictive chemical composition, the detrimental effects on opioid dependent patients, the body, and on future adolescents. Frequently doctors have become carless which causes an upsurge of opioids being overprescribed.
Opiates are a class of drugs that are used for chronic pain. Opioids are substances that are used to relieve pain by binding opiate receptors throughout the body, and in the brain. These areas in the brain control pain and also emotions, producing a feeling of excitement or happiness. As the brain gets used to these feelings, and the body builds a tolerance to the opioids, there is a need for more opioids and then the possibility of addiction. There are different forms of opioids manufactured such as Morphine, Oxycodone, Buprenorphine, Hydrocodone, and Methadone.
One of the reasons the epidemic has become so widespread is due to the addictiveness of opioids. Opioids are prescription medications used to treat pain, with oxycodone and hydrocodone being the more popular drugs (Mayo). Opioids are addictive because of the way
However, before the specific outcomes of Congressional influence and policy impact can be evaluated it becomes important to first review the general history and current situation of drugs today. Our present drug laws were first enacted at the beginning of the century. At the time, recreational use of narcotics was not a major social issue. The first regulatory legislation was for the purpose of standardizing the manufacturing and purity of pharmaceutical products. Shortly after, the first criminal laws were enacted which addressed opium products and cocaine. Although some states had prohibited the recreational use of marijuana, there was no federal criminal legislation until 1937. By contrast, the use of alcohol and its legality was a major social issue in United States in the early 20th century. This temperance movement culminated in the prohibition of alcohol from 1920 to 1933. Recreational drug use, particularly heroin, became more prevalent among the urban poor during the early ?60s. Because of the high cost of heroin and its uncertain purity, its use was associated with crime and frequent overdoses.
Potent pain medication contains the aspects of utilizing medications such as morphine or demerol, how the medications are dispensed, and t...
Cancer patients are usually unwilling to be managed with morphine as they fear its adverse effect and the risk of addiction or they have it as solely a comfort for the dying rather than a legitimate analgesic.
Effective treatment of cancer pain is essential for ensuring the best outcomes for cancer patients, in terms of physical, psychological and social aspects. Although there are no NICE guidelines for management of cancer pain, WHO guidance should be used to inform clinical practice. Careful assessment is a critical element of the process to ensure that patients are offered the treatment which is likely to offer the best outcomes, yet without providing a greater than necessary risk of complications such as tolerance and addiction to opioids. The main outcome that this paper highlights is that “Pain is what the patient says it is and exists when he says it does” (McCaffery 1983
the left of a pair of crystals that are a mirror image of each other.
Aranella, Cheryl, MD., M.P.H. Use of Opiates to Manage Pain in the Seriously and Terminally Ill Patient. American Hospice Foundation, 2006. Web. 7 November 2011.