A 32-year-old obstetrical patient at 32 weeks of gestation is being transported via helicopter after an accident resulted in multiple fractures. Due to her injuries, she requires pain management. Which medication would be most appropriate to administer considering her pregnancy?
Morphine
Ketorolac
Meperidine
Fentanyl
Morphine is generally considered safe for use in pregnancy in controlled doses. It offers effective pain relief and has been widely studied. Fentanyl, while potent, has less data available about safety in pregnancy, and non-steroidal anti-inflammatory drugs like ketorolac are contraindicated due to risks of fetal complications such as premature closure of the ductus arteriosus. Meperidine can cross the placenta and its metabolite, nor-meperidine, can accumulate in the fetus, leading to possible adverse effects.
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