OB_Duramorph (Morphine)

OB_Duramorph (Morphine) - Duramorph (Morphine) Routine use:...

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Duramorph (Morphine) Routine use: Pain control IM IV, Subcut (Adults ≥50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients --4-10 mg q 3-4 hr. MI --8-15 mg, for very severe pain additional smaller doses may be given every 3-4 hr. IM IV, Subcut (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients --0.05-0.2 mg/kg q 3-4 hr, maximum: 15 mg/dose. C- Therapeutic: opioid analgesics / Pharmacologic: opioid agonists A- Decrease in severity of pain. Major side effects: CNS: confusion , sedation , dizziness, dysphoria, euphoria, floating feeling, hallucinations, headache, unusual dreams. EENT: blurred vision, diplopia, miosis. Resp: RESPIRATORY DEPRESSION . CV: hypotension , bradycardia. GI: constipation , nausea, vomiting. GU: urinary retention. Derm: flushing, itching, sweating. Misc: physical dependence, psychological dependence, tolerance. Nursing Implications: Assess type, location, and intensity of pain prior to and 1 hr following PO, subcut, IM, and 20 min (peak) following IV administration. When titrating opioid doses, increases of 25-50% should be administered until there is either a 50% reduction in the patient's pain rating on a numerical or visual analogue scale or the patient reports satisfactory pain relief. When titrating doses of short-acting morphine, a repeat dose can be safely administered at the time of the peak if previous dose is ineffective and side effects are minimal. Patients on a continuous infusion should have additional bolus doses provided every 15-30 min, as needed, for breakthrough pain. The bolus dose is usually set to the amount of drug infused each hour by continuous infusion. Patients taking sustained-release morphine may require additional short-acting opioid doses
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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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OB_Duramorph (Morphine) - Duramorph (Morphine) Routine use:...

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