Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

morphine infusion, what will you do

mrs sachett 6 hours post op following hemicolectomy. she has a morphine infusion presently running as a background infusion of 2mg/hr and she describes her pain as 3/10 with respiratory rate of 14, sao2 97%, pulse 98 b/p 104/65 and although sleepy is easily roused. the order indicates she can have from 0-5 mg/hour with a bolus of 1mg twice per hour if necessary. what would you do?

1. decrease the rate of the infusion to 1 mg/hr and assess how she is feeling about her hysterectomy, teach her relaxation and breathing exercises to control the anxiety which is at this stage contributing to the experience of pain

2. stop the infusion and administer a dose of naloxone to reverse the effects of morphine

3. as pain is still present and the current amount is less than the maximum dose it would be appropriate to increase the infusion to 4mg/hr

4. keep the infusion at the current rate

Featured Replies

What are your thoughts on the question?

  • Author

i am picking number 4

ans1) hysterectomy??

ans2) pt is not airway compromised why would we do that? pt's pain can be back without morphine

ans3) she is already giving pain score 3/10, no reason to increase the dose at all

ans4)do nothing is the best response

i am picking number 4

ans1) hysterectomy??

ans2) pt is not airway compromised why would we do that? pt's pain can be back without morphine

ans3) she is already giving pain score 3/10, no reason to increase the dose at all

ans4)do nothing is the best response

I like 4 as well, for the same reasons you mentioned.

  • Guides

I'd be wondering why the report was a hemicolectomy but the real operation was a hysterectomy. :coollook:

Maybe I got my patients mixed up.

After figuring that out - I'd probably leave it alone. Do some incentive spirometry with the patient. Sit her up.

steph

I would chose #4 too. She is stable and 3/10 maybe her comfort zone.

First thing is you need to figure out what her target pain level is....3/10 might be tolerable for her, but only way to find out is ask the patient.....some people have high pain tolerances, others might not.....her VS do not indicate any respiratory distress....

First thing is you need to figure out what her target pain level is....3/10 might be tolerable for her, but only way to find out is ask the patient.....some people have high pain tolerances, others might not.....her VS do not indicate any respiratory distress....

Well, yeah...but, since your answer wasn't a choice ;) which answer would you choose?

  • Guides
Well, yeah...but, since your answer wasn't a choice ;) which answer would you choose?

None of the above? :D

steph

None of the above? :D

steph

Interesting NCLEX strategy.....I might try a different one though.:D

  • Guides
Interesting NCLEX strategy.....I might try a different one though.:D

I just think the question is wrong . ... . hemicolectomy . . hysterectomy . ..

Plus, I hate NCLEX questions . .. . but I get why y'all have to practice. So, I'll bow out. :coollook:

steph

didn't realize it was a NCLEX question....thought it was a scenario or something.....I wouldn't do anything, so i guess #4

  • Guides
didn't realize it was a NCLEX question....thought it was a scenario or something.....I wouldn't do anything, so i guess #4

I didn't think it was either . .. hence my answer.

steph

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.