MEDICATIONS
Student: Erin Nowlin
Drug
Generic:
Client Information:
Dosage, Route,
& Frequency
Ordered for this
Client:
Morphine sulfate
Brand:
MS IR
4mg IV push
every 6 hours as
needed for pain
Classification
RR 5A 33
Allergies: NKDA
Purpose of the Drug
Classification/
Therapeutic
Action:
Specific to this Client:
pain
Unknown. Binds
with opiod
receptors in the
CNS, altering
perception of and
emotional
response to pain
Non-specific to this client
(if applicable – max. 2)
Date:
March 5, 2011
Nursing Implications
Side Effects/Adverse
Reactions/Interactions/Effects
on Labs: (3 most important)
1. Respiratory: respiratory
depression, apnea, respiratory
arrest
2. CV: bradycardia, cardiac
arrest, shock
3. CNS: seizures, dizziness,
sedation
Nursing Considerations/
Client Teaching (3 most
important)
1. Monitor circulatory,
respiratory, bladder, and bowel
functions carefully. Drug may
cause respiratory depression,
hypotension, urine retention,
nausea, vomiting, ileus, or altered
level of consciousness regardless
of the route. If respirations drop
below 12 breaths/minute,
withhold dose and notify
prescriber.
2. Caution ambulatory patients
Drug
Dosage, Route,
& Frequency
Classification
Purpose of the Drug
Nursing Implications
about getting out of bed or
walking. Warn outpatient to
avoid driving and other
potentially hazardous activities
that require mental alertness until
drug’s adverse CNS effects are
known.
3. Keep opioid antagonist
(naloxone) and resuscitation
equipment available.
References:
Kluwer, W. (2011) Nursing 2011 drug handbook (31st ed.). Ambler,Pennsylvania:Lippincott Williams&Wilkins