Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

morphine n/a Opioid analgesic 2mg/hour IV Constant infusion
Peak Onset Duration Normal dosage range
20 min rapid 4-5 hrs Usual starting dose for moderate to severe pain in opioid-
naive patients--4-10 mg q 3-4 hr.
Rate: Administer 2.5-15 mg over 4-5 min. Rapid
administration may lead to increased respiratory depression,
hypotension, and circulatory collapse
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Pain Solution is colorless; do not administer discolored solution.
Dilute with at least 5 ml of sterile water or 0.9% NaCl for
injection to a concentration of 0.5-5 mg/ml
Y-Site Incompatibility: amphotericin B cholesteryl sulfate,
azithromycin, cefepime, doxorubicin liposome, minocycline,
phenytoin, sargramostim
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Binds to opiate receptors in the CNS. Alters the Hypersensitivity, Some products contain tartrazine,
perception of and response to painful stimuli while bisulfites, or alcohol and should be avoided in patients with
producing generalized CNS depression known hypersensitivity
Common side effects
confusion, sedation, RESPIRATORY DEPRESSION,
hypotension, constipation
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May ↑ plasma amylase and lipase levels
Additive CNS depression with Phenergan
Be sure to teach the patient the following about this
medication
None, pt is unconscious

Nursing Process- Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give this med? Check after giving
Assess type, location, and intensity of pain If respiratory rate is <10/min, assess level of Decrease in severity of
prior to and 20 min (peak) following IV sedation. Toxicity (administer Narcan) pain without a
administration. Assess level of significant alteration in
consciousness, blood pressure, pulse, and level of consciousness
respirations before and periodically during or respiratory status
administration. Assess bowel function
routinely.