Tetracaine

Morgan Lens

I rank Tetracaine 30 on my list of 33 drugs.

We use Tetracaine prior to insertion of Morgan lenses in patients age 6 years and older who have sustained an exposure injury to the eye(s), (i.e. dry or liquid chemical).

The drops numb the eye and make it easier for the patient to tolerate the Morgan Lens.

Here is our Morgan Lens procedure:

Explain procedure to patient and give rationale.
Unless contraindicated*, instill one or two drops of Tetracaine.
Instruct patient not to touch/rub eye(s).
Spike IV bag and attach/flush tubing, connect Morgan Lens, maintain sterile environment of Morgan Lens.
Have the patient look down, insert the Morgan Lens under the upper lid, then have the patient look up, retract lower lid and allow lens to drop into place.
Begin flow rate at wide open and maintain this rate per patient tolerance. Have plenty of towels or chux to absorb flow.

Tetracaine is a nice little drug, but it has been years since I have used a Morgan Lens. When I worked more regularly in the city and dealt with more patients who had been maced or pepper-sprayed, I had more occasion to use the Morgan Lens, although many times we just irrigated the eyes with the IV tubing, as ift takes a high-level of cooperation for a patient to accept a Morgan Lens in their eye.

Nice to have Tetracaine in the kit, but I can do without it if I have to.

***

Tetracaine Ophthalmic Solution

Class: Topical anesthetic for the eye only

Action: Produces anesthesia in the eye approximately 30 seconds after application

Indication: For pain control in burns to the eye

Contraindication: Known allergic reaction to Tetracaine or Novocain type medications.

Dose: 1 or 2 drops to the affected eye

Route: Topically to the eye

Pedi dose: 1 or 2 drops to the affected eye

4 Comments

  • Wow, y’all have Morgan lenses?

    We’ve always had to make do with the “nasal cannula plugged to the IV tubing” technique.

  • John says:

    Are EMT’s allowed to give this drug and use a Morgan lens? I’m sure I know the answer but want to see what you all think.

  • Rhody Davies says:

    Sir, Thank you for these VERY helpful postings. I am a new, green Paramedic and the information in this series have answered several questions that I have been unable to find answers.

    Again thank you for helping to continue to educate those of us still interested in knowledge.

  • medicscribe says:

    The Morgan Lenses are for medic use only, but I think the nasal cannula idea Ambulance Driver mentions works almost as well for our purposes.

Leave a Reply

Your email address will not be published. Required fields are marked *

background image Blogger Img

Peter Canning

JEMS Talk: Google Hangout

Recent Posts
Thoughts on Ebola October 23, 2014
STEMI Call October 14, 2014
Ebola October 2, 2014
Breaker of Men September 25, 2014
Categories
  • ems-health-safety (7)
  • ems-topics (698)
  • hazmat (1)
  • Uncategorized (413)
  • Comments
    BH
    Thoughts on Ebola
    Kent, despite all those deaths, flu still doesn't have the mortality rate that Ebola does. I think concern is warranted.
    2014-11-21 06:05:35
    Jerrid Edgington
    Racing the Reaper: Book Review
    I was surfing the web and came across this page. I am humbled by the review and comments. I can't thank you all enough. The first two books that originally were self published, were re-edited by my publisher and re-released. The third book in the series, Reaper's Requiem, will be released on December 6, 2014.…
    2014-10-29 17:06:57
    Kent
    Thoughts on Ebola
    We are only talking about one airline and two weekly flights to Monrovia and Senagal because the plane lands in Dakkar. I can tell as I have been in both of these airports that prior to entry your temp is taken and a chlorine hand wash is required, this is also repeated before boarding. Again…
    2014-10-29 00:42:00
    Kent
    Thoughts on Ebola
    Every year 37000 people in the US die of the flu, for which we have a vaccine and OTC meds. 10000 Ebola cases and we loose our minds...why? Is this the CNN effect, whipping up hysteria ? Why do we not sequestering those with the flu? Quarantine is not the answer for non symptomatic people…
    2014-10-29 00:31:08
    RJ in florida
    Thoughts on Ebola
    this appears to becomming political. The lack of an african quarantine is because if the government orders it, the airlines can go back to the government for lost revinue when its over. If they do it on their own its a business descision and have to eat the loss. The appomtment of a non doctor…
    2014-10-24 19:36:32

    Now Available: Mortal Men

    Mortal Men is available as an electronic book for Kindle, Nook or any other e-reader. Here is a link to some of the places to buy it. The book sells for $3.99. Barnes and Noble Amazon Smashwords Scribd Also Available from iBooks

    Order My Books

    Support EMS Bloggers, Buy Their Books

    Google

    Order Books and Movies

    FireEMS Blogs eNewsletter

    Sign-up to receive our free monthly eNewsletter

    LATEST EMS NEWS

    HOT FORUM DISCUSSIONS