INDEX Generic Name morphine Trade Name

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency opioid analgesics 4-10mg IVP q3-4h 1mg/10min PCA

Peak Onset 20 minutes rapid Why is your patient taking this medication? Mechanism of action and indications Severe pain Pulmonary edema Pain associated with MI

Duration 4-5 hours

For IV meds, compatability with IV drips and/or solutions

Binds to receptors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity Use cautiously in: Alcohol, head trauma; increased intracranial pressure, severe renal, hepatic, or pulmonary disease; hypothyroidism, adrenal insufficiency Common side effects confusion, sedation, dizziness, dysphoria, euphoria, floating feeling, hallucinations, headache, unusual dreams, blurred vision diplopia, miosis, respiratory depression, hypotension, bradycardia, constipation, nausea, vomiting, urinary retention, flushing, itching, sweating Lab value alterations caused by medicine

Interactions with other patient drugs, OTC, or herbal 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 (Pre-administration assessment Vital Signs Assess type, location, and intensity of pain Pain scale 1-10 Narcan Assessment Why would you hold or not give this med? Respirations <10 Evaluation Check after giving Stable vitals Patient report of comfort

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