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. by   JBudd
    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. by   psu_213
    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 the importance of being able to do basic med math.
  3. by   talaxandra
    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. by   loriangel14
    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).