What are the nursing responsibilities when giving morphine?

Answer 1

1.CHECK FOR THE WRITTEN AND FULLY SIGNED ORDER OF THE REGISTERED MEDICAL PRACTIONER IN ADMINISTERING PETHIDINE FOR THE PATIENT.

2.CHECK THE SIX RIGHTS OF MEDICINE ADMINISTRATION.

3.DOUBLE CHECK WITH ANOTHER R.N FOR ACCURATE DOSAGE AND SITE.

4.DOCUMENT PATIENTS CONDITION INCLUDING VITAL SIGNS AND LEVEL OF CONCIOUSNESS BEFORE ADMINISTRATION.

5. ALWAYS ADMINISTER THE DRUG IN PRESENCE OF ANOTHER R.N.

6.MONITOR VITAL SIGNS AND PAIN LEVEL 15 MINUTES PAST PETHIDINE ADMINISTRATION.

7.CHECK FOR ALL POSSIBLE SIDE EFFECTS AND COMPLICATIONS OF THE DRUG.

8.DOCUMENT IN THE DRUG CHART AND NURSES RECORD.

9.INFORM SUPERVISOR OR R.M.O IN CASE OF ANY ABNORMAL DRUG REACTIONS AND DOCUMENT IT..

10.ENTER IN THE WARD STOCK BOOK THE TOTAL NUMBER OF PETHIDINE REMAINING....... shruthy sureh balaji R.N

Answer 2

Check hospital or facility policy for this. There are many steps to take to protect the patient, yourself and the facility where you work. You may not receive an answer for this online as other people may be afraid to answer because they may inadvertently leave out a step.

Additional information:

Among the usual responsibilities inherent in any drug administration, the following are of special interest (Note -- this list is NOT all-inclusive):

1. Allergies: Morphine and other opiates/opiods are common antigens in an allergic reaction. Check chart and ideally with patient for allergies before administration.
2. Respiratory Depressant: Morphine is a CNS and Respiratory depressant. Extreme caution needs to be excercised in administration to compromised patients. While Morphine is not ruled out automatiicall in these cases (as morphine is a superb pain antagonist and treats traumatic shock well), check with the prescribing doctor/PA and plan to monitor the patient's pO2 saturation and respiration over time.
3. Synergy: Morphine reacts with other drugs, most notably other depressants. Check the chart before administering. ETOH and Morphine, while not as dangerous as barbiturate/ETOH interactions, are potentially dangerous, so ER patients presenting with signs of other depressant usage (including alcohol) should be especially carefully monitored.
4. Long term: Morphine and other opiates/opioids depress the bowel. Expect constipation. Likewise, on sudden discontinuity of chronic dosing, expect a lively bowel.
5. Withdrawal: Morphine is used for patients experiencing a high level of pain. Caution is exercised so that sudden and especially unintended withdrawal is Not caused. Note that pain of a level requiring morphine stresses the patient.
6. Withdrawal: Morphine is highly addictive. Sudden withdrawal of morphine therapy in cases of chronic or long-term administration is cautioned. Accidental withdrawal as a result of pump failure or failure to administer needs to be carefully watched.
7. Withdrawal: There is some indication that sudden morphine withdrawal may complicate immune issues, especially in HVC patients.
8. Psych: In rare cases, Morphine may produce dysphoria and -- more rarely -- hallucinations.

Answer 3

asses pt's condition

monitor vital sign

check pysician's prescription

ask patient any reaction from the previous medications