What should nurse assess before giving morphine?

What should nurse assess before giving morphine?

High Alert: Assess level of consciousness, BP, pulse, and respirations before and periodically during administration. If respiratory rate is <10/min, assess level of sedation. Physical stimulation may be sufficient to prevent significant hypoventilation. Subsequent doses may need to be decreased by 25–50%.

What should I know before giving morphine sulfate?

Before using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), gallbladder disease, kidney disease, liver disease, mental/mood …

Can morphine be given to elderly?

Conclusion: Intravenous morphine titration can be safely administered to elderly patients. Because titration is adapted to individual pain, the same protocol can be applied to young and elderly patients.

What should you assess before giving cefazolin?

Examination and Evaluation

  1. Watch for seizures; notify physician immediately if patient develops or increases seizure activity.
  2. Monitor signs of pseudomembranous colitis, including diarrhea, abdominal pain, fever, pus or mucus in stools, and other severe or prolonged GI problems (nausea, vomiting, heartburn).

How does morphine affect elderly patients?

However, elderly patients are more likely to have age-related lung, liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving morphine.

What are the side effects of morphine in the elderly?

Older adults may be more sensitive to the side effects of this drug, especially confusion, dizziness, drowsiness, and slow/shallow breathing.

What should you assess before giving gabapentin?

Examination and Evaluation

  1. Document the number, duration, and severity of seizures to help determine if this drug is effective in reducing seizure activity.
  2. Monitor drowsiness, anxiety, confusion, and other changes in mood or behavior (hostility, emotional lability, concentration difficulties).

What is the action of cefazolin?

Cefazolin is used to treat bacterial infections in many different parts of the body. This medicine is also given before certain types of surgery to prevent infections. Cefazolin belongs to the class of medicines known as cephalosporin antibiotics. It works by killing bacteria or preventing their growth.

What are the risks of taking gabapentin?

Side effects can include:

  • allergic reactions (swelling of hands or face, itching, chest tightness, or trouble breathing)
  • suicidal thoughts or behavior.
  • nausea and vomiting.
  • fever or viral infection.
  • lack of coordination and problems with movement which can cause falls or injury.

What is the action of gabapentin?

Gabapentin is in a class of medications called anticonvulsants. Gabapentin treats seizures by decreasing abnormal excitement in the brain. Gabapentin relieves the pain of PHN by changing the way the body senses pain.

What is cefazolin target?

Cefazolin is a beta-lactam antibiotic and first-generation cephalosporin with bactericidal activity. Cefazolin binds to and inactivates penicillin-binding proteins (PBP) located on the inner membrane of the bacterial cell wall.

What are the nursing considerations of morphine (MS Contin)?

What are the Nursing Considerations of Morphine (MS Contin) Nursing Pharmacology Considerations? may cause alterations in mentation, hypotension, constipation, nausea, vomiting assess BP, pulse, and respiratory rate prior to administration and frequently during administration use caution if patient is receiving MAO Inhibitors

What are the side effects of morphine in nursing?

Nursing Implications. Use caution or avoid tasks requiring alertness (e.g., driving a car) until response to drug is known since morphine may cause drowsiness, dizziness, or blurred vision. Do not breast feed while taking this drug.

What is the dosage for morphine sulfate in nursing?

morphine sulfate Nursing Considerations & Management 1 Drug Name. 2 Dosage & Route. Initial dose, 15 mg PO daily, as a single dose in evening. 3 Therapeutic actions. Morphine is a phenanthrene derivative which acts mainly on…

What are special considerations for opioid use in elderly patients?

Special Considerations for Opioid Use in Elderly Patients. The liver is responsible for the metabolism of opioids to their metabolites. Liver insufficiency can lead to an accumulation of the drug in the body; therefore, it may be necessary to adjust the dose and instruct caregivers and patients to allow longer administration intervals.