S id e e f f e c t s n o n e s ig n if ic a n t d o s

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Unformatted text preview: d e E f f e c t s : n o n e s ig n if ic a n t. D o s a g e a n d R o u t e : 4 0 - 8 0 m g in c h e w a b le t a b le ts a ft e r m e a ls a n d a t b e d t im e . P O . N u r s in g Im p lic a t i o n s : - a s s e s s f o r b o w e l a c tiv ity a n d r e lie f o f d is t e n t io n 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 . F E O S O L (F E R R O U S S U L F A T E , 3 0 % E L E M E N T A L IR O N ) C la s s ific a tio n : a n tia n e m ic s A c t io n : e s s e n t ia l m in e r a l f o u n d in h e m o g lo b in , m y o g lo b in , a n d m a n y e n z y m e s . E n te r s t h e b lo o d s t r e a m a n d o r g a n s o f t h e r e t ic u lo e n d o t h e lia l s y s te m ( liv e r, s p le e n , b o n e m a r r o w ) , w h e r e ir o n is s e p a r a te d o u t a n d b e c o m e s p a r t o f ir o n s t o r e s . In d ic a t io n : P r e v e n t io n / tr e a tm e n t o f ir o n - d e fic ie n c y a n e m ia . C o n t r a in d ic a t io n s /P r e c a u t io n s : P r im a r y h e m o c h r o m a t o s is . H e m o ly t ic a n e m ia s a n d o th e r a n e m ia s n o t d u e t o ir o n d e f ic ie n c y . S o m e p r o d u c ts c o n t a in a lc o h o l, t a r t r a z in e , o r s u lf it e s 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 in t o le r a n c e o r h y p e r s e n s itiv it y . C o n c u r r e n t o r a l ir o n t h e r a p y . U s e c a u t io u s ly w it h la c ta t io n o r c h ild r e n ( s a f e t y o f s o m e p a r e n t e r a l p r o d u c t s n o t e s t a b lis h e d ) . S id e E f f e c t s : s e iz u r e s - h y p o t e n s io n n a u s e a - c o n s tip a tio n - d ia r r h e a e p ig a s t r ic p a in - s k in s t a in in g a t I M s it e a n a p h y la x is D o s a g e a n d R o u t e : - 1 9 5 m g , 3 0 0 m g , 3 2 5 m g , t a b le t s . - 1 5 0 m g , 2 5 0 m g , c a p s u le s . - 2 2 0 m g / 5 m l, e lix ir. - 7 5 m g /0 .6 m l, 1 2 5 m g /1 m l, d r o p s . O r a l p r e p a r a t io n s a r e b e s t a b s o r b e d if a d m in 1 h r b e f o r e o r 2 h r a f t e r m e a ls...
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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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