Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
General Nursing Discussion /

Did he get too much morphine?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 385,894 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 7 1 23456 > Last »

Apr 16, 2008 09:21 PM

Did he get too much morphine?

by Deb123j

I'm a new nurse and am still learning drug doses and such.
My brother had a lapchole today. After the surgery he was in his room resting comfortably. A student nurse comes in and asks if he's in any pain (syringe of pain medication in hand), he said a little only when he tries to urinate. She asks if he wants the pain med and he says sure. So in it goes.
A little later he's feeling light-headed and really sleepy. Student nurse comes in and I asked how much morphine she gave him...she gave 8mg. Isn't that a bit much for a pt who really isn't in much pain??? I would think that 2mg would have been much more appropriate. I'm assuming the doc wrote a range for the pain medication, like 2-8mg prn.
What do you all think???


Share: Submit Thread to Facebook Submit Thread to Twitter Submit Thread to Technorati Submit Thread to Google Submit Thread to Reddit

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 7 1 23456 > Last »
Reply
66 Comments
No. 1
from leslie :-D
Old Apr 16, 2008, 09:29 PM

Default Re: Did he get too much morphine?
for an uncomplicated lap chole, it sounds high.
but this isn't my area of expertise.
i'd be curious as to the normal range.

leslie
Top
 
No. 2
from Fiona59
Old Apr 16, 2008, 09:40 PM

Default Re: Did he get too much morphine?
Depends on the patient. Big guys usually come up with orders for 5-15 mg q4h. People under 175lbs usually come with 2.5-7.5 q4-6h.

So, personally, I probably would have given him 5 to 7.5 mg depending on how big he is.

Male patients with family around often underestimate their pain especially when there are family members around. I have worked on surgical units where pain meds are given q4h for the first 24 hours.

But my question would be why is the student walking around with prefilled syringes?
Top
 
No. 3
from Deb123j
Old Apr 16, 2008, 09:43 PM

Default Re: Did he get too much morphine?
Originally Posted by Fiona59 View Post
But my question would be why is the student walking around with prefilled syringes?
This was one of the things that really bothered me. Typically I ask the pt if they would like medication before I draw it up.

He's not a big guy...maybe weighs 170ish.
Top
 
No. 4
from TazziRN
Old Apr 16, 2008, 09:47 PM
Updated Apr 16, 2008 at 09:50 PM by TazziRN

Default Re: Did he get too much morphine?
"Too much" means higher than normal, or higher than is safe. 8 mgs is not too much for an adult, no matter what the problem. More than he needed, probably, but not too much. And yes, morphine will cause sleepiness and lightheadedness. One Vicodin can do that.
Top

8 Readers Gave Kudos
 
No. 5
from Reno1978
Old Apr 16, 2008, 09:47 PM

Default Re: Did he get too much morphine?
I'm a new nurse too, but 8mg sounds high to me considering how he reported his pain.

For a patient who is resting comfortably and only reporting a small amount of pain, I would not give them 8mg of morphine. I doubt it would be dangerous for him, but he'd definitely be feeling the side effects of that dose, as he did.

Why on earth is a student nurse carrying around a syringe full of morphine!?!?
Top
 
No. 6
Old Apr 16, 2008, 09:48 PM

Default Re: Did he get too much morphine?
true, but perhaps the student was told to "go see if x wants this scheduled morphine"...and didn't think to ask first and go draw it up....thought to draw it up and then ask....it happens...
Top

1 Reader Gave Kudos
 
No. 7
from Fiona59
Old Apr 16, 2008, 09:52 PM

Default Re: Did he get too much morphine?
But there's the problem. Morphine post op is not a scheduled drug on my unit. It's a prn and we do pain rounds to check on the patients needs before we draw anything up. It's up to our judgment on how much to give a patient. If it's just discomfort 5mg would probably have done the job.
Top
 
No. 8
Old Apr 16, 2008, 10:19 PM

Default Re: Did he get too much morphine?
I have more of an issue with a student nurse giving an IV push drug without supervision than I do with the dosage.

Blee
Top

12 Readers Gave Kudos
 
No. 9
from linzz
Old Apr 16, 2008, 10:25 PM

Default Re: Did he get too much morphine?
In any hospital I have been at, morphine is not a drug that is given on a regular basis, it is given as a PRN injection. I also wondered why this student has an injection prepared before a pain assessment is done. I would think that if any was left over, it would have to be signed for as being wasted.
Top
 
Page 1 of 7 1 23456 > Last »
Reply




Thread Tools


Who's Online
462 members
4,081 guests
4,543

3

Hospital bill stuns slain student’s parents: $ 30,000 for 5...

17

Doctors-in-short-supply-responsibilities-for-nurses-may-expa...

8

Less regular sleep for ICU nurses may lead to errors

16

Nurse sends unused medical supplies to needy nations

24

Premature Births Are Fueling Higher Rates of Infant...

6

MRSA Strain Linked to High Death Rates

25

RI hospital fined $150,000 in 5th wrong-site surgery since...

64

Nursing: One of the 6 Thriving Jobs that are Here to Stay???

90

Dad Fights Hospital to Keep Baby on Life Support

12

A nurse can dream...about awesome nursing



7

Why am I doing this, anyway?

0

Nurse Heal Thyself

7

My Papa, why I am the nurse I am today.

15

I made it through

11

An angel's gaze

13

A Sister Never Forgets

16

Ruby's Marbles

29

What Do Operating Room Nurses Do?

14

My Little Old Jedi

17

I love this job......

23

"I hear voices"

17

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

23

Error and Attitude

10

It's Just a Shower

6

Searching for the Purpose





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: