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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Advisable To Change To Demerol From Morphine Due To High Heart Rate?

My 15 yr. old grandson is in recovery from taking hardware out of his leg. He is on morphine iv and his heart rate is running 130-150. Should they change the morphine to maybe demerol? will morphine cause tacycardia after surgery if he could be reacting to it. Never had morphine before with previous surgeries.
Fri, 23 Oct 2015
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Cardiologist 's  Response
Morphine per say will not cause tachycardia,
The higher heart rate may be due to the pain, as a reactionary phenomenon. I would suggest you may consult your doctor and uptitrate the analgesic, if that is the case.
Also rule out local cause of infection, if the site of removal of hardware is warm, red, swollen.
Demerol is also morphine based analgesic only and will have similar effect on heart
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Is It Advisable To Change To Demerol From Morphine Due To High Heart Rate?

Morphine per say will not cause tachycardia, The higher heart rate may be due to the pain, as a reactionary phenomenon. I would suggest you may consult your doctor and uptitrate the analgesic, if that is the case. Also rule out local cause of infection, if the site of removal of hardware is warm, red, swollen. Demerol is also morphine based analgesic only and will have similar effect on heart