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help needed please confusion between slow release and immediate release morphine


if a patient is to recieve 10 mg or more of a slow release morphine, and you accidently give immediate release morphine instead what should i be monitoring? i would think level of analgesia during first four hours, sedation level, and respiratory rate. is this correct? and am i missing anything?

akulahawkRN, ADN, RN, EMT-P

Specializes in Emergency Department. Has 6 years experience.

I would suspect you're on the right track... Look in your drug guide for side and adverse effects and look for ones that might cause harm to the patient right away or are potentially life threatening. There your answers will reside.


Specializes in L&D, infusion, urology. Has 2 years experience.

You're on the right track. My first thoughts were resp rate and sedation. Might be good to have Narcan handy. :)