What should you monitor after giving morphine?
Controlling pain, which is usually the first symptom evaluated in patients, is the ultimate goal of morphine use. Other essential parameters requiring monitoring include mental status, blood pressure, respiratory drive, and misuse/overuse.
How do you give morphine sulfate IV push?
For intravenous administration it is important to inject morphine slowly over a period of 4 to 5 minutes with the patient in the recumbent position. For continuous intravenous infusion of morphine, appropriate starting doses are 1-2 mg per hour in adults and adolescents over 12 years.
How do you dilute IV morphine?
IV morphine is prepared by the dilution of 1 mL morphine (10 mg/mL) with 9 mL saline (0.9%), in a syringe.
Is morphine given undiluted?
Intravenous Bolus The resulting solution contains 1mg/mL morphine. Volume 0.05mL 0.1mL 0.2mL 0.3mL 0.4mL Shake well to ensure thorough mixing. It may be administered undiluted or diluted to a suitable volume with compatible fluid for ease of administration.
What special precautions should you follow when administering morphine sulfate via IV push?
Morphine must be injected slowly; rapid intravenous administration may result in chest wall rigidity. Inspect Morphine Sulfate Injection for particulate matter and discoloration prior to administration.
What are the side effects of IV morphine?
Possible Side Effects of Morphine Sulfate
- Slowed Breathing or Low Blood Pressure.
- Sleepiness (Somnolence)
- Constipation Caused by Pain Medications.
- Concerns About Addiction, Tolerance, and Dependence.
- Nausea and/or Vomiting.
- Less common, but important side effects can include:
- Reproductive Concerns.
Is morphine a slow IV push?
Administration of Morphine Sulfate Injection should be limited to use by those familiar with the management of respiratory depression. Morphine must be injected slowly; rapid intravenous administration may result in chest wall rigidity.
Can nurses IV morphine?
All registered nursing staff that have completed the competency for intravenous administration of morphine and who are currently assessed as competent for IV medication administration can administer IV morphine APP.
What to assess before giving IV morphine?
- Monitor blood pressure prior to administration.
- Monitor patient’s respiratory rate prior to administration.
- Reassess pain after administration of morphine.
- Monitor for respiratory depression and hypotension frequently up to 24 hours after administration of morphine.
What should I know before taking morphine?
Before taking morphine, tell your doctor and pharmacist if you are allergic to morphine, any other medications, or any of the inactive ingredients in the type of morphine product you plan to take. Ask your pharmacist or check the Medication Guide for a list of the inactive ingredients.
How do you write nursing practice implications?
Nursing implications should be relatively short and focused, and include:
- A clear and concise description of the problem.
- The appropriate audience (clinical nurse, educator, administrator, advanced practice registered nurse) and the specific patient population affected by the implications.
Which nursing intervention would the nurse expect to do during implementation?
Which nursing intervention would the nurse expect to do during implementation? Providing client teaching about a drug therapy regimen. Implementation involves planning client care and intervention. Providing client teaching would be a part of implementation.
What are implications for clinical practice?
Analysis of clinical implications for practice
- Individualise care plan.
- Address practical barriers for the individual.
- Adopt a patient-centred approach.
- Increase clinician involvement.
- Ensure long-term follow up.
- Promote self-management.
- Increase family or carer involvement.
- Improve patient education.
What are implications for practice?
Implications for practice involve discussing what your findings might mean for individuals who work in your field of study. Think about what people do in your field. What might your findings mean for them and the work they do? How can your findings potentially affect practice?
What are implications of nursing?
Nursing implications are the possible clinical consequences or effects of implementing the study’s findings (Polit & Beck, 2014). Research may have varied clinical implications.
What happens if you give dextrose to a nursing mother?
Because many drugs are excreted in human milk, caution should be exercised when 50% Dextrose Injection, USP is administered to a nursing mother. Hyperosmolar syndrome, resulting from excessively rapid administration of concentrated dextrose may cause mental confusion and/or loss of consciousness.
What are the risks of 50% dextrose injection (USP)?
What is the generic name for morphine in dextrose?
Morphine SULFATE-D5W Plastic Bag, Injection. GENERIC NAME(S): Morphine In Dextrose 5 %. OTHER NAME(S): Morphine In Dextrose 5 % Solution. Read Reviews (0)Find Lowest Prices. WARNINGS: Morphine has a risk for abuse and addiction, which can lead to overdose and death.
How is 50% dextrose injection administered?
For total parenteral nutrition 50% Dextrose Injection, USP is administered by slow intravenous infusion (a) after admixture with amino acid solutions via an indwelling catheter with the tip positioned in a large central vein, preferably the superior vena cava, or (b) after dilution with sterile water for injection.