ACTIVE LEARNING TEMPLATE: Medication

Spencer Ellis
STUDENT NAME _____________________________________
Morphine sulfate
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER 22
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CATEGORY CLASS Opioid analgesic

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PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use

Binds to and activates opioid receptors at Treatment of moderate to severe pain.
sites in the peri-aqueductal and
peri-ventricular grey matter, the ventromedial
medulla and the spinal cord.

Complications Medication Administration

Constipation, nausea, vomiting, dizziness, sweating, PO: 10 mg q4h PRN. May give
euphoric mood, slow and shallow breathing, depression, up to 30 mg q4h.
fatigue, sleep apnea, low BP, weakness, tachycardia,
tachypnea, anxiety, polydipsia. IV: 1-4 mg q1-4h PRN. May give
up to 10 mg q4h.

Contraindications/Precautions
Asthma, COPD, scoliosis, sleep apnea, obesity, CNS
depressants, risk for addiction.
Nursing Interventions
Have Narcan on hand
Monitor respirations
Assess pain level
Monitor I/Os
Interactions
CNS depressants (alcohol, cannabis, antihistamines,
opioids, sedatives, hypnotics)
MOAIs, muscle relaxants, cimetidine, diuretics,
anticholinergics, St. John's Wort
Client Education
Encourage added fiber in diet
Do not drive or operate heavy
Evaluation of Medication Effectiveness
machinery
Therapeutic response: decreased pain level Change positions slowly
Use only when needed
Call provider for urinary retention

ACTIVE LEARNING TEMPLATES