if the order is written as morphine 4 mg ivp q 6 hours prn the patient should receive the medication how?
The order states "morphine 4 mg IV push (IVP) every 6 hours as needed (PRN)."
To administer the medication as per the order:
1. Check the patient's identification to ensure you have the correct patient.
2. Gather the necessary supplies, including the pre-measured vial of morphine, an IV catheter, alcohol swabs, and gloves.
3. Perform hand hygiene and don gloves to maintain aseptic technique.
4. Verify the medication with the patient's name, date of birth, and allergy status.
5. Prepare the medication by drawing up 4 mg of morphine into a syringe following aseptic technique.
6. Cleanse the IV injection port with an alcohol swab.
7. Connect the syringe to the injection port or, if necessary, inject through a direct access line.
8. Administer the medication slowly as a push over the recommended time (typically 2-4 minutes), observing for any adverse reactions or discomfort.
9. Document the administration in the patient's medical record, including the date, time, medication name, dosage, route, and any observations or assessments made during and after administration.
10. Dispose of any used equipment and discard the waste according to hospital protocols.
11. Monitor the patient for pain relief and any possible side effects or adverse reactions. If the patient's pain persists or worsens, further assessments and interventions may be required.
It is important to note that the administration of medications should be performed by a licensed healthcare professional following institutional policies and guidelines. This response is meant for informational purposes only and should not replace professional medical advice or training.
To administer the medication correctly according to the given order, morphine 4 mg IV (intravenous push) every 6 hours as needed (PRN), follow these steps:
Step 1: Ensure Proper Hand Hygiene
Before administering any medication, wash your hands thoroughly or use hand sanitizer to maintain proper hand hygiene.
Step 2: Gather Supplies
Gather the necessary supplies, including the following:
- Morphine vial or pre-filled syringe of morphine 4 mg/mL, as prescribed
- An alcohol pad or cotton ball soaked in alcohol
- A syringe
- A sterile needle or IV catheter
- Gloves, if required
- Intravenous (IV) clamp, if needed
- Appropriate disposal container for sharps
- Documentation tools (mar, medical record, etc.)
Step 3: Check Medication Label
Check the medication label to ensure it is the correct medication (morphine), concentration (4 mg/mL), and route (IVP). Verify the expiration date as well.
Step 4: Prepare the Medication
If using a vial:
- Remove the cap on the vial and swab the rubber stopper with an alcohol pad.
- Draw up the prescribed amount of morphine (4 mg) into the syringe using an appropriate needle (if necessary).
If using a pre-filled syringe:
- Check the label to ensure it contains the correct amount of morphine (4 mg).
- Attach a needle to the syringe if one is not pre-attached.
Step 5: Access the IV Line or Site
- Confirm proper patient identification.
- Locate the patient's existing intravenous line or, if required, establish a new IV line according to institutional guidelines. Ensure the site is appropriate for IV push administration.
Step 6: Administer the Medication
- Cleanse the IV port or catheter hub with an alcohol pad, using a circular motion starting from the insertion site.
If using an IV line:
- While maintaining aseptic technique, connect the syringe with the medication to the injection port or hub on the IV line.
- Inject the medication at a slow and steady rate into the IV line.
If using an IV catheter:
- With the non-dominant hand, stabilize the catheter near the insertion site.
- While maintaining aseptic technique, attach the syringe with the medication to the catheter hub.
- Insert the medication slowly and steadily into the catheter.
Step 7: Flush the IV Line
Immediately after administering the medication, flush the IV line with a compatible flush solution (usually normal saline) according to institutional guidelines.
Step 8: Observe the Patient
Observe the patient for any immediate adverse reactions or side effects, such as changes in vital signs, pain relief, sedation, or respiratory depression.
Step 9: Document Administration
Record the administration of morphine in the patient's medication administration record (MAR) or medical record, noting the medication name, dose, route, time, and any relevant observations or assessments.
Note: Follow institutional policies and guidelines when administering medications, and consult with a healthcare professional if you have any specific concerns or questions regarding medication administration.