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Jim Squire

Why altered LOC/multiple trauma morphine contraindications?

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Contraindications for morphine use include (among others): head injury, decreased mental status, multiple trauma.  Why?

I understand why it's respiratory depression effect would make contraindicated for patients with COPD and asthmatic attacks, and why its effect on blood pressure would make it a bad choice for a hypotensive pt.  But why would multiple trauma and altered LOC/head injuries make it so?  I'd think head injuries would make rise of ICP an issue, one in which morphine would, if anything, help.

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