Other
NUR 101 Morphine Sulfate ATI Template
- Course
- NURSING 101
- Institution
- Bay State College
Morphine Sulfate ATI Template for Nur 101. *Essential Study Material!!
[Show more]
Content preview
ACTIVE LEARNING TEMPLATE: Medicationjessica willard
STUDENT NAME _____________________________________
Morphine Sulfate
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Opioid Agonists
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
- Mimics actions of naturally occurring Relief of moderate to severe pain -
opioids (endorphins, enkephalins) by binding Sedation -Reduction of bowel motility -Cough
with mu receptors causing analgesia, suppression (codeine)
sedation, euphoria, respiratory depression
Complications Medication Administration
Measure baseline vital signs before administration and monitor
-Respiratory depression -Sedation, dizziness, lightheadedness, throughout therapy. -Administer orally, IM, IV, SC, rectally, or
drowsiness -Constipation -Nausea, vomiting -Orthostatic epidurally. -Make sure patients swallow sustained-release forms
whole and do not crush or chew them. -Administer IV opioids by
hypotension -Urinary retention -Cough suppression -Potential for diluting as recommended and administering slowly over 4 to 5
min; have naloxone and resuscitation equipment
abuse -Tolerance with continued use and cross tolerance with other available. -Monitor PCA (patient-controlled analgesic pump) use
opioids and pump settings carefully. -Administer to patients with cancer
on a fixed, around-the-clock dosing schedule, not PRN
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 - Nursing Interventions
Precautions: Schedule II controlled substance; older adults, infants;
reduced respiratory reserve; head injury; inflammatory bowel disease; Monitor vital signs and auscultate lungs -For
respiratory rates below 12 per min, withhold the
prostatic enlargement; hypotension; hepatic or kidney disease 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
Interactions output, watching for signs of urinary retention
(bladder distention) -Encourage patients to
-CNS depressants (barbiturates, phenobarbital, benzodiazepines, alcohol) urinate every 4 hr -Prepare to insert a urinary
increase CNS depression -Anticholinergic agents, such as antihistamines, catheter to drain the bladder
and tricyclic antidepressants increase anticholinergic 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
Client Education
Take the drug only when needed and
short-term -Do not take prior to driving or
activities requiring mental alertness -Sit or lie
Evaluation of Medication Effectiveness down if feeling lightheaded -Change positions
gradually -Increase fluid and fiber intake; activity
- Relief of moderate to severe pain -Cough and exercise -Take the drug with food or milk
(oral forms) -Sit or lie down if feeling
suppression -Resolution of diarrhea lightheaded. -Rise slowly from a reclining or
sitting position -Report any inability to urinate or
difficulty urinating -Cough regularly to clear
secretions from the throat and chest
ACTIVE LEARNING TEMPLATES
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now