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
The Butler Did It February 19, 2015
Medicscribe_Header Gifts January 25, 2015
medicscribeheaderbg Practice (Revisited) January 24, 2015
Chemical Reactions January 12, 2015
Categories
  • ems-health-safety (7)
  • ems-topics (701)
  • hazmat (1)
  • Uncategorized (417)
  • Comments
    Travis Jordan
    The Butler Did It
    Try CHAMPS (in a more logical order than SAMPLE) C - Chief Complaint H - History A - Allergies M - Medicines P - Previous Activity S - Signs/Symptoms (vitals)
    2015-02-26 03:01:09
    B Thompson
    AHA 2015 Guidelines: A Preview
    Whether you are excellent at intubation or not is irrelevant. I can drop an iGel airway with an NG tube in a patient and apply the vent before most people could finish prepping for an intubation. That is the goal. Less time securing an airway and more time focusing on compressions, drug therapy, and reversing…
    2015-02-24 23:54:11
    Levi Peterkin
    The Butler Did It
    Good day, I have trouble making a patient report to a triage nurse. Sometimes I don't know how to remember all the important stuff and summarize it effectively.
    2015-02-23 18:27:14
    Dawn
    Dopamine
    What are your thoughts on titrating a dopamine drip drop off? Do you go from 5 to 0? Or do you ease from 5 to 0? I have a theoretical answer in my head, I just would like another's perspective.
    2015-02-23 16:04:24
    BH
    AHA 2015 Guidelines: A Preview
    If medics can't intubate with CPR in progress they need to train until they can, or more correctly, can't miss. At my level of care we don't even intubate a live person before being licensed and I regularly intubate with a Lucas device running. It ain't rocket science.
    2015-02-23 03:10:52

    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