ACTIVE LEARNING TEMPLATE: Medication
STUDENT NAME MEDICATION morphine CATEGORY CLASs Opioid analgesic
REVIEW MODULE CHAPTER
PURPOSE OF MEDICATION
Expected Pharmacological Action
Therapeutic Use
Act on MU receptors, produces analgesia, respiratory depression, euphoria, and sedation, while also decreasing G.l. motility
Release of moderate to severe pain, sedation, reduction of bowel motility, cough suppression
Complications
Medication Administration
Constipation, respiratory depression less than 12 per minute, orthostatic hypotension, urinary retention, cough suppression, sedation, biliary colic, nausea and vomiting, opioid toxicity
Assess pain level on regular basis, take baseline vital signs, follow controlled substance procedures, don't increase dose without consulting provider, for cancer patients administer around the clock
Contraindications/Precautions
Contra indications: biliary tract surgery, premature infants. Precautions: pregnancy, asthma, emphysema, obesity, inflammatory bowel disease
Nursing Interventions
Monitor vital signs, notify provider of less than 12 respirations a minute, have naloxone and resuscitation equipment available, administer stool softener/laxative, monitor intake and output
Interactions CNS depressants, anti-cholinergic agents, antihypertensives
Client Education
Avoid use of opioids, alcohol, other CNS depressants, increased fluid and fiber intake and physical activity, change position slowly, avoid every four hours, avoid hazardous activities
Evaluation of Medication Effectiveness Relief of moderate to severe pain, cough suppression, resolution of diarrhea
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE A7