NRLE FORM - 11

La Salle University
College of Nursing
Ozamiz City

DRUG STUDY
DRUG NAME ROUTE/DOSAGE/ INDICATION MECHANISM OF CONTRAINDICATION SIDE EFFECTS NURSING
FREQUENCY ACTION RESPONSIBILITY/
PATIENT TEACHING
Generic Name: Route:  Relief moderate to Principal opium Contraindicated to
severe acute and alkaloid acts as agonist patients with CNS: confusion, 1. Monitor circulatory,
Morphine Sulfate PO, IM, SubQ, Rectal, IV, chronic pain. at specific oploid hypersensitivity to sedation, respiratory, bladder,
Epidural, and IT  Analgesics adjust preceptors in the CNS oploids. Use dizziness, dysphoria, and bowel functions
Brand Name: during anesthesia. to produce analgesia cautiously with acute euphoria, floating carefully. Drug may
Dosage:  Instaspinal use with euphoria sedation. asthma, feeling, cause respiratory
Astramorph, Daramorph, micro fusion corpulmonale, hallucinations, depression,
Epimorph [opioid-naive or devices for the hypoxia, headache, hypotension, urine
opioid-nontolerant pts] relief of intractable hypercapnia unusual dreams retention, nausea,
Pharmacologic Class: pain vomiting, ileus, or
Individualize dose PO EENT: blurred vision, altered level of
Opioid Agonists q8-12h; Start: 15 mg PO diplopia, miosis consciousness
q8-12h, may incr. dose regardless of the
q1-2 days; Info: use Resp: Respiratory route. If respirations
Therapeutic Class: lowest effective dose, Depression drop below 12
shortest effective tx breaths/minute,
Opioid Analgesics duration; consider low CV: hypotension, withhold dose and
start dose, titrate slowly Bradycardia notify prescriber.
in pts 65 yo and older;
do not Endo: adrenal 2. Caution ambulatory
cut/crush/chew/dissolv insufficiency patients about getting
e tab; >60 mg/dose, out of bed or walking.
>120 mg/day for use in GI: constipation, Warn outpatient to
opioid-tolerant pts only; nausea, avoid driving and
LA SALLE UNIVERSITY COLLEGE OF NURSING : Drug Study 2019
 Picture: taper dose by 25-50% Vomiting other potentially
q2-4 days to D/C hazardous activities
GU: urinary that require mental
Frequency: retention alertness until drug’s
adverse CNS effects
4mg IV push every 6 Derm: flushing, are known.
hours as needed for itching,
pain Sweating 3. Keep opioid
antagonist (naloxone)
Misc: physical and resuscitation
dependence, equipment available.
psychologica,
tolerance

Submitted by: Submitted to:

Name of Student: Jobert P. Rosillosa Mrs. MaryVic Regalado, MN

Year Level: BSN - 3 Name of Clinical Instructor
Date: October 27, 2021 Date: October 27, 2021

LA SALLE UNIVERSITY COLLEGE OF NURSING : Drug Study 2019

LA SALLE UNIVERSITY COLLEGE OF NURSING : Drug Study 2019