IM Morphine

Ok in the end the patient is alive. The interactions between morphine and MAOI's (SJW) has a unpredictable reaction, Avoid use: MAOI's = BAD JU JU

Naloxone will help in Respirtory arrest after a opioid was administer.

That was my action and I stand by all my treatments that was redender to this pt read above that the way it happen. End result Patient Alive.
As Forrest Gump would say "That all I got to say about that"
 
1badassEMT-I said:
SJW increases the CNS depression (2009 Drug Reference Nursing). .
Click to expand...

You need some better books my friend.

Could I suggest:

Goodman and Gilman's "The Pharmacological Basis of Therapeutics"

Lippincott's "Illustrated review of Pharmacology"

Lange: "Basic and clinical Pharmacology"

"Biochemistry" by Garrett and Grisham

Lippincott's "Illustrated review of biochemistry."

"Anesthesiology" by Longnecker et al.

I have found them to be reputable and exhaustive sources. Far more detailed than a nursing guide.
 
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Veneficus said:
You need some better books my friend.

Could I suggest:

Goodman and Gilman's "The Pharmacological Basis of Therapeutics"

Lippincott's "Illustrated review of Pharmacology"

Lange: "Basic and clinical Pharmacology"

"Biochemistry" by Garrett and Grisham

Lippincott's "Illustrated review of biochemistry."

"Anesthesiology" by Longnecker et al.

I have found them to be reputable and exhaustive sources. Far more detailed than a nursing guide.
Click to expand...

Thanks I will look into them. I do have the Basic and Clinical Pharmacology 10th edition Lange let me look into that as a starter.
 
Veneficus said:
You need some better books my friend.

Could I suggest:

Goodman and Gilman's "The Pharmacological Basis of Therapeutics"

Lippincott's "Illustrated review of Pharmacology"

Lange: "Basic and clinical Pharmacology"

"Biochemistry" by Garrett and Grisham

Lippincott's "Illustrated review of biochemistry."

"Anesthesiology" by Longnecker et al.

I have found them to be reputable and exhaustive sources. Far more detailed than a nursing guide.
Click to expand...

Even in brief reading Chp 31 pg 503-509 Lange still supports my treatment. I see what you are saying you are thinking that with a low dose of morphine a pt cant arrest with MAOI (SJW) which didnt need for Narcan to be pushed. And thats ok maybe I got lucky then. Until you can show where my treatment was wrong, we are disagree on what I done. I am a idiot that got lucky ok. I stand by my treatment and thats all that matters. Everybody wants to think Narcan is for over-doses only is bull crap. I know what the indications for it is I used it, and it worked. I dont know why it is a problem nobody can tell why it didnt work... You are all just basing your opinion which is fine. I accept your opinion. Now leave the idiot alone..... That is what you all think. I still got my job and my card. I am happy.

Really thanks for your input. And I will check the other references I promise.
 
Before I am done with this post I got really neat Reference guide I for got I had.


Lexi-Comp Drug Reference Handbook "A Comnprehensive Resource for all Clinicians and Healthcare Professionals"
the official book for reference APhA.

And it even supports my treatment. OK Im done now.
 
Can someone please post a link to any study saying SJW acts as an MAOI?

Here is my issue with that claim. MAOIs interact with A LOT of stuff, right down to cold medications and cheese. SJW is a common OTC supplement in the US, and if its MAOI action is strong enough to have such an effect on morphine, I would expect people taking it would have adverse reactions to a lot more stuff that doesn't mix well with MAOIs.
 
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Aidey said:
Can someone please post a link to any study saying SJW acts as an MAOI?

Here is my issue with that claim. MAOIs interact with A LOT of stuff, right down to cold medications and cheese. SJW is a common OTC supplement in the US, and if its MAOI action is strong enough to have such an effect on morphine, I would expect people taking it would have adverse reactions to a lot more stuff that doesn't mix well with MAOIs.
Click to expand...

http://atheism.about.com/library/glossary/paranormal/bldef_stjohnswort.htm

http://www.fda.gov/ForConsumers/ByAudience/ForWomen/ucm118473.htm

http://www.holisticonline.com/herbal-med/hol_herb_med_reac.htm

http://www.webmd.com/vitamins-suppl...activeIngredientName=ST.+JOHN'S+WORT&source=2


Look under interaction it that tab
 
 
Aidey said:
Can someone please post a link to any study saying SJW acts as an MAOI?

Here is my issue with that claim. MAOIs interact with A LOT of stuff, right down to cold medications and cheese. SJW is a common OTC supplement in the US, and if its MAOI action is strong enough to have such an effect on morphine, I would expect people taking it would have adverse reactions to a lot more stuff that doesn't mix well with MAOIs.
Click to expand...

EVERY DRUG REFERENCE I HAVE PULLED OUT HAS SAID AVOID MORPHINE USE WITH SJW!!!!!!!!!!!!!! If anybody can show me PROOF I am wrong PLEASE DO! And I WILL eat every word.
 
Veneficus said:
You need some better books my friend.

Could I suggest:

Goodman and Gilman's "The Pharmacological Basis of Therapeutics"

Lippincott's "Illustrated review of Pharmacology"

Lange: "Basic and clinical Pharmacology"

"Biochemistry" by Garrett and Grisham

Lippincott's "Illustrated review of biochemistry."

"Anesthesiology" by Longnecker et al.

I have found them to be reputable and exhaustive sources. Far more detailed than a nursing guide.
Click to expand...

Even in Lange and as you said SJW maybe considered a SSR and MAO pg 1057 Chp 65
 
This is good I am learning alot!

This is good!
 
A couple of things.

1badassEMT-I : I'm saying this in a friendly way. When complaining about being treated like an idiot, you have to understand how things like your screen name, and the fact that the some of your posts read like they have been typed by someone having a seizure, instantly impact upon people's perception of you. Without any previous experience of you we are presented with these things:
-a questionable screen name
-shockingly typed and thought out posts. (To the extent that, I at least, have been unable to divine the meaning behind about 30% of your posts.)
-Posts full of what I will tentatively term whackerisms (constant references to saving a life, a dim view of education [although I find it hard to tell what you position actually is], excessive references to equipment, dogmatic application of protocols, overly simplistic appraisal of clinical issues etc].

When you then present a questionable idea as a basis for an argument you are making, don't be shocked if people want to pick that idea apart. This would be true in any case, but given the above, you can imagine why people are especially keen to deconstruct you thought processes. That is, after all, the only reason why I and many others come to this forum - to examine ideas. Now I'm not saying you have to change your screen name or anything, but just consider the affect of all these things taken together.

The scenario: I can except that a person had a hypersensitivity to morphine and that they subsequently suffered a reduction in resp rate and conscious state. If you are going to say arrest without a qualifier, I don't think it is unreasonable to assume you mean cardiac arrest. Also the whole point was that the IV line was necessary for the immediate saving of the patients life, hence lines are needed before morphine (the presence/action of SJW is essentially irrelevant). I think we can safely say that notion has been debunked. You seem to accept this. So why base an argument on it in the first place? Can't you see why some people are taking issue with your thought processes?

I have also heard that SJW may mildly increase the effects and duration of opiates, but you have yet to provide any reliable references. Where do you think an article on About.COM fits into that hierarchy? Come on mate, If that's what you're going to post as reliable evidence, you're going to have to get used to people taking issue with your posts.
 
Melclin said:
A couple of things.

1badassEMT-I : I'm saying this in a friendly way. When complaining about being treated like an idiot, you have to understand how things like your screen name, and the fact that the some of your posts read like they have been typed by someone having a seizure, instantly impact upon people's perception of you. Without any previous experience of you we are presented with these things:
-a questionable screen name
-shockingly typed and thought out posts. (To the extent that, I at least, have been unable to divine the meaning behind about 30% of your posts.)
-Posts full of what I will tentatively term whackerisms (constant references to saving a life, a dim view of education [although I find it hard to tell what you position actually is], excessive references to equipment, dogmatic application of protocols, overly simplistic appraisal of clinical issues etc].

When you then present a questionable idea as a basis for an argument you are making, don't be shocked if people want to pick that idea apart. This would be true in any case, but given the above, you can imagine why people are especially keen to deconstruct you thought processes. That is, after all, the only reason why I and many others come to this forum - to examine ideas. Now I'm not saying you have to change your screen name or anything, but just consider the affect of all these things taken together.

The scenario: I can except that a person had a hypersensitivity to morphine and that they subsequently suffered a reduction in resp rate and conscious state. If you are going to say arrest without a qualifier, I don't think it is unreasonable to assume you mean cardiac arrest. Also the whole point was that the IV line was necessary for the immediate saving of the patients life, hence lines are needed before morphine (the presence/action of SJW is essentially irrelevant). I think we can safely say that notion has been debunked. You seem to accept this. So why base an argument on it in the first place? Can't you see why some people are taking issue with your thought processes?

I have also heard that SJW may mildly increase the effects and duration of opiates, but you have yet to provide any reliable references. Where do you think an article on About.COM fits into that hierarchy? Come on mate, If that's what you're going to post as reliable evidence, you're going to have to get used to people taking issue with your posts.
Click to expand...

Like I said MATE I dont care what none of you think about me......Show me a reference where I am wrong and I will shut up....I have reference it all stand by my treatment and dont care what you or anybody else thinks of me. (FOR ONE MINUTE ALL OF YOU HAD ME THINKING DID I DO SOMETHING WRONG HERE BUT NOW I KNOW I AM RIGHT AND DONT CARE)...Put me on ignore if I so grossly bother you..... You guys are intimindated by my SN or the fact you are so in the dark that hey he mite have had this happen....At the end of the I give a hoot what you or anybody on this forum think. I am a IDIOT in your eyes but I am going to sleep tonite knowing I am better than what you or anybody else on here thinks of me....NOT ONE of YOU HAVE SHOWED ME WHERE I AM WRONG NOT ONE!!!!! I have nothing to prove to NOBODY understand that.....You or nobody else! I have even show my co-workers the BS you guys are posting.....and they are laughing at you...I find it funny now.. I have cause such a up roar that none can say I am wrong this cant happen.....yet nobody has showed that it CANT happen as it did. So once again if I bother you with my post ignore me that simply. Thanks for your input now I can put this aside. I have nothing to prove as I have said!!!!!!!!!!! DONE!!!!!!!! HEAR ME DONE!!!!!!!!!!
 
1badassEMT-I said:
Like I said MATE I dont care what none of you think about me......Show me a reference where I am wrong and I will shut up....I have reference it all stand by my treatment and dont care what you or anybody else thinks of me. (FOR ONE MINUTE ALL OF YOU HAD ME THINKING DID I DO SOMETHING WRONG HERE BUT NOW I KNOW I AM RIGHT AND DONT CARE)...Put me on ignore if I so grossly bother you..... You guys are intimindated by my SN or the fact you are so in the dark that hey he mite have had this happen....At the end of the I give a hoot what you or anybody on this forum think. I am a IDIOT in your eyes but I am going to sleep tonite knowing I am better than what you or anybody else on here thinks of me....NOT ONE of YOU HAVE SHOWED ME WHERE I AM WRONG NOT ONE!!!!! I have nothing to prove to NOBODY understand that.....You or nobody else! I have even show my co-workers the BS you guys are posting.....and they are laughing at you...I find it funny now.. I have cause such a up roar that none can say I am wrong this cant happen.....yet nobody has showed that it CANT happen as it did. So once again if I bother you with my post ignore me that simply. Thanks for your input now I can put this aside. I have nothing to prove as I have said!!!!!!!!!!! DONE!!!!!!!! HEAR ME DONE!!!!!!!!!!
Click to expand...

Your whole attitude is wrong mate. You deomonstrate this over-the-top Whacker E. Rescue gung-ho save the world mentality and a poor approach to praxis which is most likely the product of grossly inadequate education and clinical support.

I am going to say this as nicely as possible mate.

Stop saying things.
 
MrBrown said:
Your whole attitude is wrong mate. You deomonstrate this over-the-top Whacker E. Rescue gung-ho save the world mentality and a poor approach to praxis which is most likely the product of grossly inadequate education and clinical support.

I am going to say this as nicely as possible mate.

Stop saying things.
Click to expand...

Like I said Brown I am done! That is as nicely as I can say it.
 
1badassEMT-I said:
http://atheism.about.com/library/glossary/paranormal/bldef_stjohnswort.htm

http://www.fda.gov/ForConsumers/ByAudience/ForWomen/ucm118473.htm

http://www.holisticonline.com/herbal-med/hol_herb_med_reac.htm

http://www.webmd.com/vitamins-supplements/ingredientmono-329-ST+JOHN'S+WORT.aspx?activeIngredientId=329&activeIngredientName=ST.+JOHN'S+WORT&source=2


Look under interaction it that tab
Click to expand...

Ok, let me rephrase. Can someone besides this guy please post a reference from a reputable source?

Sir, your links suck. These are not academic references. The first and third links are useless. The second link doesn't mention SJW anywhere. And the 4th doesn't support your claim that SJW works as an MAOI. It only lists potential complications, which does nothing for your argument.

I'm asking for science based information with references. Think a reference that could be used in a research paper.
 
Aidey said:
Ok, let me rephrase. Can someone besides this guy please post a reference from a reputable source?

Sir, your links suck. These are not academic references. The first and third links are useless. The second link doesn't mention SJW anywhere. And the 4th doesn't support your claim that SJW works as an MAOI. It only lists potential complications, which does nothing for your argument.

I'm asking for science based information with references. Think a reference that could be used in a research paper.
Click to expand...

As I have said in all the drugs references SJW w/morphine is bad ju ju regardless of what studies you find. Thats all I need to go by. I am done arguing this point, It is in the drug references and thats all I care about. Have a good one!
 
1badassEMT-I said:
As I have said in all the drugs references SJW w/morphine is bad ju ju regardless of what studies you find. Thats all I need to go by. I am done arguing this point, It is in the drug references and thats all I care about. Have a good one!
Click to expand...

To be taken seriously, you need to provide back up for what you claim. You made the claim, the burden of proof is on you. If you can't provide the studies and proof that it is bad with morphine, then you certainly are not going to be taken seriously.
 
Sasha said:
To be taken seriously, you need to provide back up for what you claim. You made the claim, the burden of proof is on you. If you can't provide the studies and proof that it is bad with morphine, then you certainly are not going to be taken seriously.
Click to expand...

Sasha look up morphine in any drug reference in interactions SJW is a interaction. It reacts with the morphine. You are a Educated Paramedic go look for yourself. Dont take my word for it go look. My references dont count as they are in every single Drug REFERENCE book published. I made the claim proved it and it is still not good enough.

I am the idiot here. None of you can discount I am wrong. And I dont have to prove anything else to you or anybody at this forum because when I do it is not good enough...Dont take me serious I have proven all I care to prove. Have a wonderful evening Sasha you are just adding your two cents to this mix and I really got you peg as a crap starter anyway.
 
EZ-IO is your friend...
We don't even use IV's any more for codes, protocol says go strait to EZ-IO
 
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