Morphine dose in vial? - page 3

So at both of the places I have worked (Med-Surg settings) the most common dose prescribed for IV morphine is 2 mg. However, it is dispensed in 5 mg vials. This means we need to do a witnessed waste... Read More

  1. Visit  JBudd profile page
    0
    We have 2 and 10 mg carpujects. We used to have the 2mg Dilaudid carpuject, but the pharm tech loaded Dilaudids in the Morphine drawer, and 3 patients got the wrong stuff (what happened to reading the dang label three times!!!?). 3 different nurses, arghh!! Took me a while to chase it all down and do the incident reports.

    Considered a sentinel event, and we now only have 1 mg Dilaudids to get rid of the look-alike problem.

    When my late dh had CA, I had the 15mg/ml Morphine vials at home.

    I've been told the packaging is what is expensive, not the volume of drug; so they may buy the larger dose to save money. After all, having to pull 2 vials for a 2 mg dose costs more, and who cares if it takes up nurses' time to have to waste all the time.
  2. Visit  psu_213 profile page
    0
    Quote from DeLanaHarvickWannabe
    And, the one that annoys me, Ativan is ONLY in 2 mg.
    We have an MD who does not believe flexeril (sp?) is effective so he almost always uses valium and a muscle relaxant. When he orders it IV, it is usually 4 mg. Our IV valium comes as 10mg/2mL. Another waste...plus the importance of being able to do basic med math.
  3. Visit  talaxandra profile page
    0
    Wow, the things I never realised would be different! We stock morphine in 10mg, 30mg and 120mg ampoules; I was always taught that standard dosing (ie acute pain in opiate-nave patients) was 1mg/10kg (or roughly 22lb), which fits with our usual dosing of 2.5mg to 10mg as an IV push or SC/IM injection.

    Though the larger ampoules are mostly used for infusions (we prep on the wards and don't have 24/24 pharmacists), I've had at least one chronic pain patient who was having 30mg 4/24 IM.

    From a waste POV - morphine's not very expensive, and most of the associated cost is the packaging and regulatory oversight (ie making sure none of it goes missing in the manufacturing process).
  4. Visit  loriangel14 profile page
    0
    A bit off topic but does anyone see much use of PCA ( patient controlled analgesic) pumps in chronic pain patients? Many of the patients that I care for have a PCA ordered if they are getting frequent PRN morphine (usually palliative or fresh post op patients).


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