INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name opioid analgesics 4-10mg IVP q3-4h
morphine
1mg/10min PCA

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
20 minutes rapid 4-5 hours
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Severe pain Contraindications/warnings/interactions Hypersensitivity
Pulmonary edema Use cautiously in: Alcohol, head trauma; increased intracranial pressure,
Pain associated with MI severe renal, hepatic, or pulmonary disease; hypothyroidism, adrenal
insufficiency
Binds to receptors in the CNS. Alters the perception Common side effects confusion, sedation, dizziness, dysphoria, euphoria,
of and response to painful stimuli while producing floating feeling, hallucinations, headache, unusual dreams, blurred vision
generalized CNS depression diplopia, miosis, respiratory depression, hypotension, bradycardia,
constipation, nausea, vomiting, urinary retention, flushing, itching, sweating

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
MAO inhibitors, alcohol, sedative/hypnotics, clomipramine,
barbiturates, tricyclic antidepressants and antihistamines
Be sure to teach the patient the following about this medication
Instruct patient how and when to ask for pain medication. Do not administer
PCA doses to the sleeping patient. Risk for injury. Avoid alcohol.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment Why would you hold or not give Check after giving
Vital Signs this med?
Assess type, location, and intensity of pain Respirations <10 Stable vitals
Pain scale 1-10 Patient report of comfort

Narcan