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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency


Name MorPHINe Opioid analgesic 1-2 mg IVP Q 30min PRN
Morphine
Peak Onset Duration Normal dosage range
20 Min Rapid 4-5 hr 0.8-10 mg/hr; may be preceded by a bolus of 15 mg

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Control of acute pain. D5W, D10W, 0.9%NaCl, 0.45% NaCl, Ringer’s or LR,
dextrose/Ringer’s or LR I a concentration of 0.1-1
mg/mL or greater for continuous infusion
RATE OF ADMINISTRATION: Dose should be titrated
to ensure adequate pain relief without excessive sedation,
respiratory depression, or hypotension.
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
producing generalized CNS depression. with known hypersensitivity. Use caution in head trauma,
increased intracranial pressure, Sever renal, hepatic, or
pulmonary disease, Hypothyroidism, adrenal
insufficiency, history of substance abuse.
Common side effects
CNS: confusion, sedation, dizziness, dysphoria, euphoria,
floating feeling, hallucinations, headache, unusual
dreams. EENT: blurred vision, diplopia, miosis. RESP:
respiratory depression. CV: hypotension, bradycardia.
GI: constipation, nausea, vomiting. GU: urinary
retention. DERM: flushing, itching, sweating. MISC:
physical dependence, psychological dependence,
tolerance.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May increase plasma amylase and lipase levels.
None for this patient
Be sure to teach the patient the following about this
medication
How and when to ask for pain medication: May cause
drowsiness or dizziness. Change position slowly. Do not
drink alcohol or other CNS depressants
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess type, location, and intensity of pain med? Assess level of pain 20
prior to and 20 min following IV Respirations <10/min and diminished after administration.
administration. Assess level of level of consciousness. Unable to
consciousness, BP, Pulse, and respirations awake patient