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    Waiters Morphine PDF

    Uploaded by

    Tommie
    Morphine is an opioid agonist used to relieve moderate to severe pain and suppress coughing. It works by binding to mu receptors in the brain and spinal cord to reduce pain perception and increase pain threshold. Potential complications include respiratory depression, sedation, constipation, nausea, vomiting, and urinary retention. Nurses must monitor vital signs closely when administering morphine and educate patients about potential side effects.

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    Waiters Morphine PDF

    Uploaded by

    Tommie
    46 views2 pages
    Morphine is an opioid agonist used to relieve moderate to severe pain and suppress coughing. It works by binding to mu receptors in the brain and spinal cord to reduce pain perception and increase pain threshold. Potential complications include respiratory depression, sedation, constipation, nausea, vomiting, and urinary retention. Nurses must monitor vital signs closely when administering morphine and educate patients about potential side effects.

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    Morphine is an opioid agonist used to relieve moderate to severe pain and suppress coughing. It works by binding to mu receptors in the brain and spinal cord to reduce pain perception and increase pain threshold. Potential complications include respiratory depression, sedation, constipation, nausea, vomiting, and urinary retention. Nurses must monitor vital signs closely when administering morphine and educate patients about potential side effects.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    46 views2 pages

    Waiters Morphine PDF

    Uploaded by

    Tommie
    Morphine is an opioid agonist used to relieve moderate to severe pain and suppress coughing. It works by binding to mu receptors in the brain and spinal cord to reduce pain perception and increase pain threshold. Potential complications include respiratory depression, sedation, constipation, nausea, vomiting, and urinary retention. Nurses must monitor vital signs closely when administering morphine and educate patients about potential side effects.

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    © All Rights Reserved
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    Download as pdf or txt
    of 2

    lOMoARcPSD|5232081

    ATI Morphine - ATI

    Medical Surgical Nursing I (Ivy Tech Community College of Indiana)

    StuDocu is not sponsored or endorsed by any college or university


    Downloaded by Tommie Waiters ([email protected])
    lOMoARcPSD|5232081

    ACTIVE LEARNING TEMPLATE: Medication


    Rachel Garcia
    STUDENT NAME _____________________________________
    morphine- What to teach regarding IV morphine?
    MEDICATION __________________________________________________________________________ 36 in ATI
    REVIEW MODULE CHAPTER ___________
    Opioid Agonists
    CATEGORY CLASS ______________________________________________________________________

    PURPOSE OF MEDICATION

    Expected Pharmacological Action Therapeutic Use


    - Mimics actions of naturally occurring opioids - Relief of moderate to severe pain
    (endorphins, enkephalins) by - Sedation
    binding with mu receptors causing analgesia, sedation, -Reduction of bowel motility
    euphoria, respiratory depression (ATI, p. 285) -Cough suppression (codeine) (ATI, p. 285)

    Complications Medication Administration


    -Respiratory depression -Measure baseline vital signs before administration and
    -Sedation, dizziness, lightheadedness, drowsiness monitor throughout therapy.
    -Constipation
    -Nausea, vomiting
    -Administer orally, IM, IV, SC, rectally, or epidurally.
    -Orthostatic hypotension -Make sure patients swallow sustained-release forms
    -Urinary retention whole and do not crush or chew them.
    -Cough suppression -Administer IV opioids by diluting as recommended and
    -Potential for abuse administering slowly over 4 to 5 min; have naloxone and
    -Tolerance with continued use and cross tolerance with other opioids (ATI, p. 285)
    resuscitation equipment available.
    -Monitor PCA (patient-controlled analgesic pump) use and
    pump settings carefully.
    -Administer to patients with cancer on a fixed,
    around-the-clock dosing schedule, not PRN. (ATI, p.
    286-287)
    Contraindications/Precautions
    -Contraindications: Pregnancy risk category D (long-term use, high doses, near term;
    otherwise C); kidney failure; increased intracranial pressure; biliary colic; biliary tract
    surgery; preterm labor
    - Precautions: Schedule II controlled substance; older adults, infants; reduced respiratory Nursing Interventions
    reserve; head injury; inflammatory bowel disease; prostatic enlargement; hypotension;
    hepatic or kidney disease (ATI, p. 286) -Monitor vital signs and auscultate lungs
    -For respiratory rates below 12 per min, withhold the
    drug, stimulate breathing, and administer an opioid
    antagonist if indicated; naloxone to restore respiratory
    rate
    -Monitor patients when ambulating to prevent injury
    -Encourage fiber supplements, stool softeners
    -Monitor intake and output, watching for signs of
    Interactions urinary retention (bladder distention)
    -Encourage patients to urinate every 4 hr
    -CNS depressants (barbiturates, phenobarbital, benzodiazepines, alcohol) increase CNS depression -Prepare to insert a urinary catheter to drain the
    -Anticholinergic agents, such as antihistamines, and tricyclic antidepressants increase anticholinergic bladder (ATI, p. 286-287)
    effects (constipation, urinary retention)
    -MAOIs can cause hyperpyrexic coma (excitation, seizures, respiratory depression) with meperidine
    (Demerol)
    -Antihypertensives increase hypotensive effects
    -St. John’s wort can increase sedation (ATI, p. 286)

    Client Education
    -Take the drug only when needed and short-term
    -Do not take prior to driving or activities requiring
    mental alertness
    Evaluation of Medication Effectiveness -Sit or lie down if feeling lightheaded
    -Change positions gradually
    -Increase fluid and fiber intake; activity and exercise
    - Relief of moderate to severe pain -Take the drug with food or milk (oral forms)
    -Cough suppression -Sit or lie down if feeling lightheaded.
    -Rise slowly from a reclining or sitting position
    -Resolution of diarrhea (ATI, p. 287) -Report any inability to urinate or difficulty urinating
    -Cough regularly to clear secretions from the throat
    and chest (ATI, p. 286-287)

    ACTIVE LEARNING TEMPLATES Downloaded by Tommie Waiters ([email protected]) THERAPEUTIC PROCEDURE A7

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