Morphine med - ATI template medications. PDF

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Summary

ATI template medications....

Description

ACTIVE LEARNING TEMPLATE:

Medication

ST UDENT NAME _____________________________________

Morphine Opioid Agonist

MEDICATION __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

CATEGORY CLASS ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression.

Therapeutic Use Relief of moderate to severe pain sedation reduction of bowel motility.

Complications Respiratory depression, constipation, orthostatic Text hypertension, urinary retention, cough supression, n/v, opioid toxicity triad.

Contraindications/Precautions Biliary tract surgery, premature infants during and after delivery b/c of respiratory depressant effects; pregnancy category risk C medication; use cautiously with clients who have asthma, emphysema, or head injuries. Obese clients are at greater risk for prolonged adverse effects.

Interactions CNS depressants such as phenobarbital, benzodiazepines, and alcohol have additive CNS depression action.Anticholinergics such as atropine have additive anticholinergic effects such as constipation or urinary retention; antihypretensives have an additive hypotensive effect Evaluation of Medication Effectiveness Relief of moderate to severe pain, cough suppression, and resolution of diarrhea.

ACTIVE LEARNING TEMPLATES

Medication Administration Oral, subq, IV, epidural and intrathecal.

Nursing Interventions Assess pain level and monitor vitals, if respiratory rate is less than 12 notify provider and withhold med. Have naloxone and resuscitation equipment available. Monitor I&O's, adminster antiemetic PRN.

Client Education Avoid the consumption of alcohol and meds that have CNS effect, avoid hazardous activities such as driving due to the sedative effects; void every 4 hours....