Morphine in TB Syringe, etc

Updated:   Published

I am seeing nurses give morphine with a TB syringe. Is there a reason for doing this?? Even though that is a sc needle I would have thought to draw it up in a regular 1ml syringe with a half inch needle? Is this just a nursing preference?? Are they the same essentially?

Concentration is morphine 10mg per 1ml and the prescribed dose is 1 to 3mg every 4 hours PRN Therefore give 0.1ml to 0.3mls SC.

Also....

A nurse was giving insulin in a TB needle too! What?

I won't be doing that one I know. Insulin is in units.

I have seen a few odd practices and so when I see things done differently than I might do it confuses me! Ha!

Last one. When pt is getting heparin or Enoxaparin as well as insulin shots can the sites be intermingled? Or would you be avoiding the tummy area for insulin if it is being used for the lovenox? Does it matter?

Thanks

Specializes in MICU, neuro, orthotrauma.
Yes, there is a U 500 that is used for extreme insulin resistance.

Heard of it, but have never seen it.

Specializes in MICU, neuro, orthotrauma.
How about the nurse who withheld insulin because there were no insulin syringes?

Are you serious. You wouldn't happen to have a link; I'd like to read about that.

Are you serious. You wouldn't happen to have a link; I'd like to read about that.

I don't need a link. I have been out of insulin syringes. I certainly didn't withhold insulin rather than make do.

I don't need a link. I have been out of insulin syringes. I certainly didn't withhold insulin rather than make do.

BINGO!......yes,I remember when,,,etc........when insulin came in several diff strengths......but that is functionally no longer an issue...... .001 of a ml, is the same, no matter which syringe it is in

Specializes in Ortho, Case Management, blabla.
The thread you are referring to was from 2003 and the actual question was quite different than what is posted here. The poster wanted help with a scenario on what to do when the insulin syringe breaks and your patient needs 50 units.

you didn't skip to the last post on page four, did you.

Specializes in Assisted Living Nurse Manager.
november551 said:
you didn't skip to the last post on page four, did you.

Actually I did, but I am not sure what that last post has to do about this subject.

I can't believe I read this entire thread and there was no answer at the end!

Did you pass or not and what answer did you end up with?

B

Specializes in Assisted Living Nurse Manager.
I don't need a link. I have been out of insulin syringes. I certainly didn't withhold insulin rather than make do.

Dont think I ever said anything about withholding the insulin.

Dont think I ever said anything about withholding the insulin.

Then I'm mystified as to what we're talking about.

Specializes in Assisted Living Nurse Manager.
Then I'm mystified as to what we're talking about.

From the way the OP posted their original question, I took it as the nurses were using other syringes when insulin syringes were available. If that is the case then I do not agree with it.

I would never intentionally withold any medication unless I could not "safely" give it. Safety is priority!!!

Specializes in Cardiac/Tele/CVICU.

I'm so confused. I went to that thread. I read the last post on page 4. Here it is. What does it have to do w/ anything?? LOL ~~~~>

I can't believe I read this entire thread and there was no answer at the end!

Did you pass or not and what answer did you end up with?

B

Specializes in Assisted Living Nurse Manager.
I'm so confused. I went to that thread. I read the last post on page 4. Here it is. What does it have to do w/ anything?? LOL ~~~~>

I can't believe I read this entire thread and there was no answer at the end!

Did you pass or not and what answer did you end up with?

B

I was as confused as you :confused: are! Not sure what it means.

my take on novembers link is that there is no one answer, then or now

+ Join the Discussion