Morphine Gel

  1. 0 Has anyone heard of this, we just started using it on our Hospice pts, and I think it is a wonderful creation. Perfect fo the end of the life, when PO meds can't be given, and sure beats shots etc. Of cours I may just be behind the times and it may not be new to many of you. I was just real excited about it.........Amazing what excites us nurses
  2. Visit  Nurse Hatchett profile page

    About Nurse Hatchett

    From 'Indiana'; 37 Years Old; Joined Mar '05; Posts: 84; Likes: 1.

    13 Comments so far...

  3. Visit  madwife2002 profile page
    0
    No never heard of it but would be interested to know more about it please. Always keen to know about new things, it may be like you it is already being utilised around UK, but I know nothing.
  4. Visit  txspadequeenRN profile page
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    I have used alot of things in gels,morphine, phenergan, ativan, haldol,benadryl plus more that is escaping my worn out mind now. The gels are great for end of life paitents however, sometimes it does not cover as well as the pills or injections do. I bet you would find you would be using your roxanol more if you used the gel. However, it is a wonderful concept and the dosage of the gel could be increased , and probably it would work just fine.
  5. Visit  Nurse Hatchett profile page
    0
    Quote from madwife2002
    No never heard of it but would be interested to know more about it please. Always keen to know about new things, it may be like you it is already being utilised around UK, but I know nothing.

    It comes in prefilled syringes and we just apply it to a hairless area, like wrist, and rub it in. It is supposed to be fairly fast acting too. As also posted these gels come in other drugs also. As far as using more often, I have no idea, as I haven't but a itty bit of experience with them
  6. Visit  madwife2002 profile page
    0
    Quote from Nurse Hatchett
    It comes in prefilled syringes and we just apply it to a hairless area, like wrist, and rub it in. It is supposed to be fairly fast acting too. As also posted these gels come in other drugs also. As far as using more often, I have no idea, as I haven't but a itty bit of experience with them
    Thanks will look out for it and discuss it round work
  7. Visit  hypnotic_nurse profile page
    0
    Teresa Long, MD, KUMC did some studies with morphine gel and pressure ulcers; I believe those results have been published. I was lucky enough to work with her on several studies, and the gel really did seem to help quite a bit. The pts wound up taking less oral pain meds.
  8. Visit  madwife2002 profile page
    0
    Quote from hypnotic_nurse
    Teresa Long, MD, KUMC did some studies with morphine gel and pressure ulcers; I believe those results have been published. I was lucky enough to work with her on several studies, and the gel really did seem to help quite a bit. The pts wound up taking less oral pain meds.

    Dont suppose you have the title of her work? thanks
  9. Visit  hypnotic_nurse profile page
    0
    I wasn't able to find the one on pressure ulcers. But I did find this one, with topical morphine (only mixed into silver sulfadiazine)...

    Morphine-Infused silver sulfadiazine (MISS) cream for burn analgesia: a pilot study.
    J Burn Care Rehabil 2001 Mar-Apr;22(2):118-23 (ISSN: 0273-8481)
    Long TD; Cathers TA; Twillman R; O'Donnell T; Garrigues N; Jones T
    Department of Psychiatry, The University of Kansas Medical Center, Kansas City 66160, USA.
    Pain is considered the most distressing symptom of a burn wound, with analgesia usually provided via oral or parenteral medications. Use of systemic opioids can be complicated by fluctuations in bioavailability, absorption, and clearance of drugs caused by the burn. There has been little research done in the area of topical medications for burn analgesia. The following is a double-blind, placebo-controlled pilot study assessing the safety (side effects) and efficacy (pain ratings and medications administered) of morphine-infused silver sulfadiazine cream for burn pain. Four patients are reported on (2 in each group). Only participants taking placebo reported side effects related to morphine and necessitated anxiolytic medications. Pain ratings in the treatment group ranged from 0 to 7 with a mean of 2.1, whereas the placebo group's ratings ranged from 2 to 8 with a mean of 5.6. The placebo group averaged 55.3 mg oral morphine per half day, whereas the treatment group averaged 42.9 mg.

    The link I put in didn't work, but you can find it through medscape.com.
  10. Visit  madwife2002 profile page
    0
    Thank you :roll
  11. Visit  Webfoot profile page
    0
    Quote from Nurse Hatchett
    Has anyone heard of this, we just started using it on our Hospice pts, and I think it is a wonderful creation. Perfect fo the end of the life, when PO meds can't be given, and sure beats shots etc. Of cours I may just be behind the times and it may not be new to many of you. I was just real excited about it.........Amazing what excites us nurses

    Been using Ativan gel....not too impressed with it....Wonder how much is absorbed and how much is left on the nurse's glove....Higher dose is necessary...
  12. Visit  Webfoot profile page
    0
    Quote from Webfoot
    Been using Ativan gel....not too impressed with it....Wonder how much is absorbed and how much is left on the nurse's glove....Higher dose is necessary...
    Not familiar with morphine gel.....in our facility we often use s.c. buttons for morphine when oral route is not feasible and we have no iv access. Eliminates the patient being stuck all the time.
  13. Visit  jerseyRN profile page
    0
    Shouldn't be any on the nurse's glove. The nurse uses a prefilled syringe to apply the medication to a coverlet (big band-aid), then applies that to the patient's wrist. No need to touch the gel at all.
  14. Visit  Ashera profile page
    0
    We frequently use ABH gell on our pts and and I love the delivery system and convenience to the pt. Ativan, Benedryl and Haldol. Prefilled syringes - not sure of doseage - but 1-2 topically q6h.

    Morphine gel would be wonderful for the dyphasgic or a pt you just hated doing suppositories or who didn't have IV access. Would love to learn more about this -


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