Help with I.V. push administration

[Joni's Mom]

Hi,

I'm in my 3rd semester program and we are learning I.V. push administration.

My question is

Doctor's order:

6mg morphine

On Hand:

10 mg/2ml morphine

the dose = 1.2 ml morphine

drug book states 4 - 10 mg diluted in 4 - 5 ml H20 for injection over 5 min.

Please let me know how to figure how much to inject per min. My answer is 1 ml / min to inject is this correct? actual number is (5.2ml/5 min = 1.04 ml/min)

[Daytonite, BSN, RN]

Yes, that would be correct. How are you going to figure out 1.04mL per minute as you are pushing this into the patient's vein? Or, is this just a problem you are working out on paper and not a real patient?

If this were a real patient, I would pull up the 1.2mL of Morphine and add enough bacteriostatic water to bring the total in the syringe to 6cc, pull up a chair, sit down, and then push 1.2mL into the patient over 5 minutes. That would be 0.2mL (one increment marking on the syringe) every 10 seconds while watching the second hand of my watch.