safe administration
Why would the nurse be skeptical about giving IV morphine to a patient with a respiratory rate of 12?
what medications are typically in PCA pumps?
morphine or dilaudid
1 time immediate dose given in mg
loading dose
a numerical pain rating of 5 is considered....
moderate
the patient's bp after receiving morphine is 90/45. is this a situation that narcan would need to be given?
nah
the patient reports mild itching after receiving narcotics. the nurse tells the patient that .....
this is not an allergy to the medication
antihistamines can be taken to prevent itching
this medication is given when patients are oversedated
narcan
the amount of time in minutes that must pass between each pca dose (usually 6-10 min)
lockout interval
increased usage needed to relieve pain
tolerance
if respirations are less than 8.....
provide rescue breathing with the ambu bag
a patient states she feels nauseated after receiving toradol. what should the nurse tell the patient?
it is normal to feel nauseated after receiving pain medication and the patient can take prophylactic zofran with the pain medication to prevent nausea
the patient states that they are pressing the button on the PCA pump but not receiving medication. what should the nurse explain to the patient?
while it is patient controlled, you can only get a dose at scheduled intervals. even if the button is pressed, it is not guaranteed that it is time for the medication to be administered again
total amount of mg a patient can get in an hour (includes pca and basal dose)
max limit
pain related to tissue damage is classified as
nociceptive (physiologic)
what is the MOA of narcan
blocks of all pain blockers off receptors, patients will wake up in pain
the patient feels drowsy and constipated after receiving pain medication. the nurse explains to the patient that
these are expected side effects
the nurse walks in to see the patient is breathing at a rate of 6/min. what is the first thing the nurse should do
STOP THE PUMP
the patient does not have to press the button to get this dose (every hour in mg)
basal (continuous) dose
true or false:
morphine should be given to a patient with 2/10 pain.
false
that pain rating is mild
morphine is given for severe pain
you have a 1 mg loading, 2 mg basal, 10 min lockout interval.
how many mg in 1 hour?
They get 1 mg/hour every 10 min. Thats 6 mg + 2mg basal dose = 8 mg in one hour