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RNMI1970

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  1. Morphine neurotoxicity

    RNMI1970 replied to aphillipi's topic in Hospice, Palliative
    If you are seeing myoclonus seizures, the patient likely has kidney impairment. Check BUN and Creatinine before prescribing the morphine. Patients with kidney impairment NEED oxycodone. Morphine is ok for a dose or two but it will build up in the system and cause these seizures. Been doing Hospice for 2 years. So burnt out, ready to quit all together! But I deal with a VERY difficult population. Lord, have mercy on a hospice nurse.

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