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Did he get too much morphine?



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No. 50
Old Apr 18, 2008, 06:29 AM

Default Re: Did he get too much morphine?
With love to all our brothers out there--

Young, healthy men are the BIGGEST babies sometimes

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No. 51
from clee1
Old Apr 18, 2008, 06:42 AM

Default Re: Did he get too much morphine?
Originally Posted by TiredMD View Post
My God.

I'm hyperventilating just thinking about managing a postop patient with those restrictions on the floor nurses.
That's what I was thinking.

I'm wondering where that poster works?
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No. 52
from clee1
Old Apr 18, 2008, 06:47 AM

Default Re: Did he get too much morphine?
Originally Posted by BlueRidgeHomeRN View Post
With love to all our brothers out there--

Young, healthy men are the BIGGEST babies sometimes

True... but I'll tell you this as a semi-young, health male: NO WAY will I hurt unnecessarily when modern pharmacology can significantly reduce my pain.

If I have a pain issue, it will be aggressively addressed. I guarantee it.
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No. 53
from Dolce
Old Apr 18, 2008, 07:59 AM

Default Re: Did he get too much morphine?
Originally Posted by BlueRidgeHomeRN View Post
With love to all our brothers out there--

Young, healthy men are the BIGGEST babies sometimes

And the most likely to pass out during an IV start.
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No. 54
from Super_RN
Old Apr 18, 2008, 08:55 AM

Default Re: Did he get too much morphine?
My God.

I'm hyperventilating just thinking about managing a postop patient with those restrictions on the floor nurses.


You and me both!
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No. 55
from Deb123j
Old Apr 18, 2008, 09:09 AM

Default Re: Did he get too much morphine?
Originally Posted by BlueRidgeHomeRN View Post
With love to all our brothers out there--

Young, healthy men are the BIGGEST babies sometimes


So So true!!!!!
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No. 56
from Fiona59
Old Apr 18, 2008, 12:44 PM

Default Re: Did he get too much morphine?
As my profile states I work in Canada.

Maybe one in ten of our patients come back with a pca or epidural infusing. Our pain control rounds are done q2h and we monitor them frequently. Whenever we have a pt. report an unmanageable level of pain we're on the phone to the Drs and the meds are changed. Very rarely is a PCA ordered after a patient has returned to the unit.

Maybe we just manage our pain differently up here.
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No. 57
from aeauooo
Old Apr 18, 2008, 12:45 PM

Default Re: Did he get too much morphine?
A couple of years ago I spent the night as an in-patient after varicose vein surgery.

Just before I was discharged, the day shift nurse asked if I was in pain, then picked up the syringe left by the night shift nurse and said, "I don't want to waste this." She gave me 8 mg of morphine. I did not protest.

I left the hospital STONED - and I'm a big guy!
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No. 58
Old Apr 18, 2008, 02:12 PM

Default Re: Did he get too much morphine?
Originally Posted by aeauooo View Post
A couple of years ago I spent the night as an in-patient after varicose vein surgery.

Just before I was discharged, the day shift nurse asked if I was in pain, then picked up the syringe left by the night shift nurse and said, "I don't want to waste this." She gave me 8 mg of morphine. I did not protest.

I left the hospital STONED - and I'm a big guy!
Better living through Chemistry!!
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No. 59
from CountyRat
Old Apr 25, 2008, 11:45 AM

Default Re: Did he get too much morphine?
A lot depend on the route. Did the student give the MSo IV (in which case 8 mg would be high), SQ (still high, and too much volume) or IM (a pretty standard dose for a fresh adult post-op). In any case, I would not be too worried. MSo is not toxic, and the therapeutic window is quite wide. Even a high dose (not TOO high, just high!) is not likely to be a problem in a stable, normovolemic adult without respiratory or neurological impairment.

However, drawing up before determining need is, I think, a mistake. I wish that I could say that I never made a mistake like that as a student, or after licensure, but mommy says it is wrong to tell lies.
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