D o s a g e a n d r o u t e a v a ila b le in 0 4 m g

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Unformatted text preview: e c e s s a ry. D o s a g e a n d R o u t e : A v a ila b le in 0 . 4 m g / m l a n d 1 m g / m l. D o s e is 0 .1 m g / k g . G iv e n I V , I M , S C , o r in to a n e n d o tr a c h e a l t u b e . I V a n d e n d o t r a c h e a l r o u te s a r e p r e f e r r e d d u r in g r e s u s c it a t io n . C om m on dosages: W e ig h t 1 2 3 4 kg kg kg kg (2 (4 (6 (8 lb , lb , lb , lb , 3o 7o 10 13 z) z) oz) oz) T o ta l D o s e 0 .1 0 .2 0 .3 0 .4 m m m m g g g g D r u g C o n c e n tr a tio n 0 .4 m g /m l 1 m g /m l 0 0 0 1 .2 5 m l .5 0 m l .7 5 m l ml 0 .1 0 .2 0 .3 0 .4 m m m m l l l l N u r s in g Im p li c a t io n s : - n o t e t h e s t r e n g th o f th e m e d ic a t io n a v a ila b le w h e n c a lc u la t in g t h e d o s e . - p r e p a r e t h e s y r in g e b e f o r e b ir t h b y d r a w in g u p m o r e t h a n is n e e d e d . - a ft e r b ir th , t h e e x c e s s is r e m o v e d f r o m t h e s y r in g e a n d th e a m o u n t g iv e n is d e t e r m in e d a c c o r d in g t o t h e e s t i m a t e o f t h e in f a n t ’s w e i g h t . - in je c t r a p id ly . - m o n ito r f o r r e s p o n s e , a n d b e p r e p a r e d to g iv e r e p e a t e d d o s e s if n e c e s s a r y . M O R P H IN E (D U R A M O R P H ) C l a s s if ic a t io n : o p io id a n a lg e s ic s A c t io n : B in d s t o o p io id r e c e p t o r s in th e C N S . A lte r s t h e p e r c e p tio n o f p a in o f a n d r e s p o n s e t o p a in fu l s tim u li w h ile p r o d u c in g g e n e r a liz e d C N S d e p r e s s io n . In d ic a t io n : S e v e r e p a in . P u lm o n a r y e d e m a . P a in a s s o c ia t e d w it h M I . C o n t r a in d ic a t io n s /P r e c a u t io n s : H y p e r s e n s it iv it y . S o m e p r o d u c t s c o n t a in t a r t r a z in e , b is u lfite s , o r a lc o h o l, a n d s h o u ld b e a v o id e d in p t w it h k n o w n h y p e r s e n s it iv it y . U s e c a u t io u s ly in h e a d tr a u m a , in c r e a s e d in tr a c r a n ia l p r e s s u r e , h e p a t ic o r p u lm o n a r y d is e a s e , h y p o th y r o id is m , a d r e n a l in s u ff ic ie n c y , h is to r y o f s u b s ta n c e a b u s e . A v o id c h r o n ic u s e d u r in g p r e g n a n c y o r la c ta t io n ( m a y c a u s e r e s p ir a to r y d e p r e s s io n in t h e n e w b o r n ) . S id e E f f e c t s : - c o n fu s io n - s e d a t io n - h y p o te n s io n - b r a d y c h a r d ia - c o n s t ip a tio n - r e s p ir a t o r y d e p r e s s io n D o s a g e a n d R o u t e : IM , I V , S C ( a d u lt s > 5 0 k g ) - u s u a l s ta r t in g d o s e f o r m o d e r a te T o s e v e r e p a in : 4 - 1 0 m g q 3 - 4 h . M I - 8 - 1 5 m g . F o r s e v e r e p a in , a d d itio n a l s m a lle r d o s e s m a y b e g iv e n e v e r y e v e r y 3 - 4 h . ( A d u lt s < 5 0 k g ) - 0 . 0 5 - 0 .2 m g / k g q 3 - 4 h , m a x im u m 1 5 m g / d o s e . ( N e o n a t e s ) - 0 0 5 m g /k g q 4 - 8 h , m a x im u m 0 . 1 m g / k g . U s e p r e s e r v a t iv e - fr e e f o r m u la t io n . N u r s i n g Im p lic a t io n s : - a s s e s s t y p e , lo c a t io n , a n d in te n s ity o f p a in p r io r t o a n d 2 0 m in u t e s ( I V p e a k ) fo llo w in g a d m in is tr a t io n . - p t o n c o n t in u o u s in f u s io n s h o u ld h a v e a d d it io n a l b o lu s d o s e s e v e r y 1 5 - 3 0 m in u t e s , a s n e e d e d , fo r b r e a k t h r o u g h p a in . B o lu s = a m o u n t in fu s e d in 1 h o u r. - a s s e s s le v e ls o f c o n s c io u s n e s s a n d v it a l s ig n s b e f o r e a n d d u r in g a d m in is t r a tio n . I f r e s p ir a t io n r a t e < 1 0 / m in , a s s e s s le v e l o f s e d a t io n . P h y s ic a l s t im u la t io n m a y b e s u ff ic ie n t t o p r e v e n t h y p o v e n tila t io n . - a s s e s s b o w e l f u n c tio n r o u tin e ly . In s t itu t e p r e v e n tio n o f c o n s t ip a tio n w ith in c r e a s e d in t a k e o f f lu id s a n d b u lk a n d w ith la x a tiv e s . A n t id o t e = N a r c a n ( N a lo x o n e ) - d ilu t e t h e 0 . 4 m g a m p u le in 1 0 m l 0 . 9 % N a C l a n d a d m in is t e r b y d ir e c t I V p u s h e v e r y 2 m in . A Q U A M E P H Y T O N , M E P H Y T O N , K O N A K IO N (V IT A M IN K 1 ) C l a s s if ic a t io n : fa t - s o lu b le v it a m in , a n tih e m o r r h a g ic . A c t io n : p r o m o te s th e f o r m a t io n o f f a c t o r s I I ( p r o t h r o m b in ) , V II , IX , a n d X b y t h e liv e r fo r c lo t t in g ; p r o v id e s v ita m in K , w h ic h is n o t s y n t h e s iz e d in t h e in t e s t in e s f o r t h e f ir s t 5 t o 8 d a y s a ft e r b ir th b e c a u s e th e n e w b o r n la c k s in t e s tin e s f lo r a n e c e s s a r y f o r v it a m in K p r o d u c tio n . In d ic a t io n : P r e v e n t io n o r t r e a t m e n t o f v ita m in K - d e p e n d e n t b le e d in g ( h e m o r r h a g ic d is e a s e o f th e n e w b o r n ) . C o n t r a in d ic a t io n s /P r e c a u t io n s : s e v e r e lif e - t h r e a t e n in g r e a c t io n s h a v e o c c u r r e d f o llo...
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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