How do you give morphine sulfate IV

We don't have a policy on it, and some of our nurses do it undiluted, some dilute.

Me, personally, I ALWAYS dilute the IV pain meds: they are a bit harsh on the veins undiluted, and many of our patients have problem veins anyway. I figure I preserve that IV cath as long as I can!

[quote=Roy Fokker;2151880]Now I have a follow up quesiton:

If you had a choice: Do you prefer to give them IM or IV?

QUOTE]

Absolutely, no question for me: IV. Although I just said that giving them can be hard on the veins, diluting them mitigates that. But puncturing someone repeatedly in a major muscle (who's already in pain!), sometimes as often as every one or two hours? Nope.