How to dilute meds for IVP?

[xmilkncookiesx]

Hello. I am a nursing student. Someone on my last post suggested I move my question to the nurses forum. So I'll give it a shot here

Today we had sim and an order was for 2-4mg of morphine IVP with 0.9% NS.

I got SO confused although my professor showed us a few hours prior to sim.

They said something about, push out the amount of mL you don't need in the NS syringe, then draw up the amount from the morphine vial then push it all out until you get to the mL you need for the patient.

the pt. had burns, was in A LOT of pain, never really had morphine before, so I wanted to start off on 2mg and titrate up if it doesn't improve the first 10min or so (the pts. pain).

The morphine vial said 4mg/mL.

This is how I tried to calculate it, I think I'm overthinking it:

Order: 2-4mg Morphine IVP PRN pain Q 10min in NS over 4-5min

i want 2mg

i have a 10ml flush

i flush out 7ml into the trash or whatever, so I'm now left with 3ml in my saline flush

i draw up 1mL from the morphine vial (4mg/ml)

so now I have a total of 4ml in my saline flush

which I think is 4mg/4ml?

then I flush out 2ml, which leaves me with 2ml in my saline flush

i think that's 2mg/2ml in my saline syringe?

2ml/4min = 0.5ml/min

Did I do this correctly?

[mmc51264, BSN, MSN, RN]

I'm trying to understand how people draw up the morphine, then put it in a flush. Aren't the syringe and flush both lurelock ends as they are both intended to lock into what I call a clave?

the needle you draw the morphine in you can insert into 10 mL syringe.

We have very struct labeling policies. We really don't dilute much anyway. I was just concerned about what the difference is between pulling NS up from a vial and diluting to using a pre-filled NS syringe.

[Wuzzie]

the needle you draw the morphine in you can insert into 10 mL syringe.

We have very struct labeling policies. We really don't dilute much anyway. I was just concerned about what the difference is between pulling NS up from a vial and diluting to using a pre-filled NS syringe.

Because the manufacturer states it is only to be used for flushing. Any other use is in violation of the acceptable use of the product. If something were to happen, although I can't really think of what that might be, you and your facility would be entirely liable. Even if it was a defect in the product.

[TheCommuter, BSN, RN]

Moved to the Nursing & Patient Medications forum for more replies.

[Mavrick, BSN, RN]

Taking 4 minutes to give 2mg of Morphine is ridiculous (even for a nursing student). If this is what nursing schools are teaching, no wonder new grads require so much orientation to become functional floor nurses.

Oops just saw that was part of the actual order. Still is ridiculous though.