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    Morphine

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    Cassie
    This document provides information about the opioid analgesic morphine, including its generic and trade names, classification, dosing, administration, mechanisms of action, indications, contraindications, interactions, side effects, and nursing implications. Key points include that morphine is used for moderate to severe pain, has a rapid onset and 4-5 hour duration, and requires monitoring for respiratory depression, hypotension, sedation, and constipation when administered intravenously. Nurses should assess pain levels and vital signs before and after administration and educate patients about pain medication use and potential side effects.

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    Morphine

    Uploaded by

    Cassie
    4K views1 page
    This document provides information about the opioid analgesic morphine, including its generic and trade names, classification, dosing, administration, mechanisms of action, indications, contraindications, interactions, side effects, and nursing implications. Key points include that morphine is used for moderate to severe pain, has a rapid onset and 4-5 hour duration, and requires monitoring for respiratory depression, hypotension, sedation, and constipation when administered intravenously. Nurses should assess pain levels and vital signs before and after administration and educate patients about pain medication use and potential side effects.

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    This document provides information about the opioid analgesic morphine, including its generic and trade names, classification, dosing, administration, mechanisms of action, indications, contraindications, interactions, side effects, and nursing implications. Key points include that morphine is used for moderate to severe pain, has a rapid onset and 4-5 hour duration, and requires monitoring for respiratory depression, hypotension, sedation, and constipation when administered intravenously. Nurses should assess pain levels and vital signs before and after administration and educate patients about pain medication use and potential side effects.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    4K views1 page

    Morphine

    Uploaded by

    Cassie
    This document provides information about the opioid analgesic morphine, including its generic and trade names, classification, dosing, administration, mechanisms of action, indications, contraindications, interactions, side effects, and nursing implications. Key points include that morphine is used for moderate to severe pain, has a rapid onset and 4-5 hour duration, and requires monitoring for respiratory depression, hypotension, sedation, and constipation when administered intravenously. Nurses should assess pain levels and vital signs before and after administration and educate patients about pain medication use and potential side effects.

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    Clinical Medications Worksheets

    Generic Name Trade Name Classification Dose Route Time/frequency


    morphine n/a Opioid analgesic 2mg/4mg IVP PRN Pain
    Peak Onset Duration Normal dosage range
    20 min rapid 4-5 hrs Usual starting dose for moderate to severe pain in opioid-
    naive patients--4-10 mg q 3-4 hr.
    Rate: Administer 2.5-15 mg over 4-5 min. Rapid
    administration may lead to increased respiratory depression,
    hypotension, and circulatory collapse
    Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
    Pain Solution is colorless; do not administer discolored solution.
    Dilute with at least 5 ml of sterile water or 0.9% NaCl for
    injection to a concentration of 0.5-5 mg/ml
    Y-Site Incompatibility: amphotericin B cholesteryl sulfate,
    azithromycin, cefepime, doxorubicin liposome, minocycline,
    phenytoin, sargramostim
    Mechanism of action and indications Nursing Implications (what to focus on)
    (Why med ordered) Contraindications/warnings/interactions
    Binds to opiate receptors in the CNS. Alters the Hypersensitivity, Some products contain tartrazine,
    perception of and response to painful stimuli while bisulfites, or alcohol and should be avoided in patients with
    producing generalized CNS depression known hypersensitivity
    Common side effects
    confusion, sedation, RESPIRATORY DEPRESSION,
    hypotension, constipation
    Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
    medicines (ask patient specifically) May ↑ plasma amylase and lipase levels
    Additive CNS depression with Tylenol3, Loratab,
    Ativan,, phenytoin Be sure to teach the patient the following about this
    medication
    Instruct pt on when and how to ask for pain medication and
    how to rate pain on a scale of one to ten. Advise to change
    positions slowly to minimize orthostatic hypotension.
    Encourage pt to turn cough and deep breathe to prevent
    atelectasis.
    Nursing Process- Assessment Assessment Evaluation
    (Pre-administration assessment) Why would you hold or not give this med? Check after giving
    Assess type, location, and intensity of pain If respiratory rate is <10/min, assess level of Decrease in severity of
    prior to and 20 min (peak) following IV sedation. Toxicity (administer Narcan) pain without a
    administration. Assess level of significant alteration in
    consciousness, blood pressure, pulse, and level of consciousness
    respirations before and periodically during or respiratory status
    administration. Assess bowel function
    routinely.

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