subQ narcotics? - page 2
i 've just came across this subQ morphine injection and its strange to me cos we never give it in this route (in singapore). just wanted to know is it very common in the us? and whats the normal... Read More
Jul 15, '06can you give me a better picture of the butterfly tech? Where is the best spot to put it? Is this standard practice at your hospital fora pt who needs prn sq meds ? I think it is a great idea, but have never seen it in practice.
Jul 15, '06cant remember the manugacturer, however there is a device designed to accomplish this....has a huber needle, with adhesive disc....and a valve, with luer access.....usually placed in the abd fat....good luck
Jul 15, '06In all honesty, aren't a lot of supposed "IM" meds given SQ? I mean, the longest IM needle we stock is 1 1/2 in. and I'll just tell ya, 1 1/2 inches isn't enough for a lot of people.
Jul 15, '06We give morphine sub-q with our very sick and dying pateints so that we don't have to stick them numerous times for IV. We also give morphine topically, avoiding any sticks and this is a wonderful creation.
Jul 15, '06Quote from Maggie MaeI've given morphine this way. We call them "buttons", and I've seen them and placed them myself in abd, upper arm, and even outer thigh and buttocks if needed. I work LTC tho, and we have alot of pts on the way out, due to terminal conditions. When my Mom was a ca pt at my facility, she had several "buttons" for the several sq meds she was given. Helps save the pt from multiple sticks. They're great, can't praise them enough! Just remember, one "button" per med, dedicated to admin of that med, and changed q 3 d at most facilities I've been to.can you give me a better picture of the butterfly tech? Where is the best spot to put it? Is this standard practice at your hospital fora pt who needs prn sq meds ? I think it is a great idea, but have never seen it in practice.
Jul 15, '06think these links will help:
sq continuous morphine infusion, i've tended to use area with largest sq fat pad, generally leg. insert 25-27 gauge butterfly needle at 30 to 45 degree angle or use subq button. site rotated minimum of q 7 days, many get changed q 3 days when redness/lump develops at insertion site.
[font='times new roman']subcutaneous infusions
fast fact and concept #028: subcutaneous infusions
[font=dimurphicfull]s u b cuta n eo u s th e ra p y: www.palliative.uab.edu/response/section5-5.pdf
procedure: [font='times new roman']subcutaneous cannula insertion procedure[font='times new roman']
button type sub-q devices:
clearview "sub-q" needle infusion set
right angle needle infusion sets designed specifically for the delivery of medications
to the subcutaneous tissue.
[font='times new roman']infusion[font='times new roman'] sets
Jul 24, '06I worked in an ER where we had a lot of patients with Sickle Cell Anemia. The most common pain med was Morphine SQ. That was my first time doing this on a regular basis. It controlled the pain longer.
Jul 24, '06We give Nubaine IM occasionally; once it was ordered on a pt with running heparin; I showed it to the Doc and he changed it ASAP to IV.....
Jul 31, '06Quote from khine2mn80i 've just came across this subQ morphine injection and its strange to me cos we never give it in this route (in singapore). just wanted to know is it very common in the us? and whats the normal dosage then? thanks
Used to be very commonly done a long time ago, personally I miss it.
and with the size of most asses today, most IM injections are really deep SQ anyway.
Dec 19, '06i'm accustomed to giving morphine sc quite frequently.
if i don't use the concentrate (20mg/cc), then sc is the 2nd most desirable route, and pts do not seem to mind at all.
Dec 19, '06Thanks for all the links NRSKaren! My DIL is in end stage ovarian ca and having lots of pain control issues, just forwarded the links to my son. Hopefully he can discuss this option with her Dr and it might help her get some better pain control.
Dec 20, '06I'd try fentanyl/Duragesic patches first....if not helping then SQ MSO4 or Dilaudid very helpful. Helped my MIL in her last stage after 10yr battle with Ovarian CA. Hope it helps!