Morphine 2mg carpuject, duramorph

Started by Oggg
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Oggg

Oggg

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So we have a national shortage of duramorph, a preservative free morphine. My pharmacy says that the little 2mg/1cc morphine carpujects are also preservative free. Does anyone know of a reason why we can't use the carpujects for intrathecal or epidural injection?
 
Oggg said:
So we have a national shortage of duramorph, a preservative free morphine. My pharmacy says that the little 2mg/1cc morphine carpujects are also preservative free. Does anyone know of a reason why we can't use the carpujects for intrathecal or epidural injection?
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I'd check the package insert to be sure.
 
Yeah we had two vials of duramorph/astromorph. One was 5mg/10cc, the other was 10mg/10ml. Our standard dose is 0.2mg IT or 2mg EPID, so we were ALWAYS wasting 60-90% of a vial each time. The 2mg/1cc morphine carpuject is confirmed to be preservative free. If we can use the carpuject, we'll cut down a ton on waste. We wouldn't ever need the duramorph anymore except for the dinosaur orthopods who inject 10mg into a joint.
 
cchoukal said:
Do the carpujecte have a rubber stopper? Is that a reason not to use them?
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I think they do -- but I'm not definite because I could be mistaken about the brand here.

Either way, rubber stopper shouldn't matter -- just use a filter needle. It's just annoying going through a rubber stopper when sterile. When we had a shortage of fentanyl ampules, but it was available in vials, we drew up the fentanyl and injected it into a pocket in the epidural tray before putting on sterile gloves.

I always use a filter needle when drawing up meds to be given intrathecally or epidurally. The only thing that should matter would be the presence of a preservative.
 
Want to hear a messed up story regarding duramorph?

I have met "professors" who pontificate that the left over duramorph after neuroaxial cannot be given iv because "it lasts many many hours". The would actually open a regular iv morphine and waste the duramorph.

There must be something special in the preservatives they use to cut its half life.
 
urge said:
Want to hear a messed up story regarding duramorph?

I have met "professors" who pontificate that the left over duramorph after neuroaxial cannot be given iv because "it lasts many many hours". The would actually open a regular iv morphine and waste the duramorph.

There must be something special in the preservatives they use to cut its half life.
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Wow, that's stupid.
 
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