What are some nursing considerations when administering narcotics?

Monitor for decreased respirations. Opioids may decrease the patient’s cough reflex. Therefore, it is important to have the patient turn, cough, and deep breath regularly to prevent atelectasis. Give the opioid drug at least 30-60 minutes prior to activities or painful procedures.

What should you assess before giving narcotics?

Evaluation

1. Monitor patient response to therapy (relief of pain, sedation).
2. Monitor for adverse effects (e.g. GI depression, respiratory depression, arrhythmias, etc).
3. Evaluate patient understanding on drug therapy by asking patient to name the drug, its indication, and adverse effects to watch for.

What is the nursing intervention for morphine sulfate?

Nursing Implications: Monitor patient’s respiratory rate prior to administration. Reassess pain after administration of morphine. Monitor for respiratory depression and hypotension frequently up to 24 hours after administration of morphine. Place call light signal close to patient.

What are the nurses responsibilities in the administration of analgesics for patient?

With analgesic medications, the nurse should assess for decrease in pain 30 minutes after IV administration and 60 minutes after oral medication. If the patient’s pain level is not acceptable, the nurse should investigate alternate treatment modalities.

Are there any contraindications to naloxone?

There are no absolute contraindications to the use of naloxone in an emergency. The only relative contraindication is known hypersensitivity to naloxone. Although naloxone is effective in reversing opioid overdose in a hospital setting, its use out of the hospital is relatively new.

What are the nursing implications?

Nursing implications are the nursing-related consequences of something (a disease, a medication, a procedure). ie. not the medical side effects, but the things which may occur which are up to the nurse to resolve. To work out what they are, you need to understand about the disease, medication or procedure.

Which nursing assessment is essential before administering opioid?

Physical and psychiatric comorbidities Assessment prior to opioid administration should include the presence, severity, and treatment of comorbidities.

What adverse effects should the nurse monitor for before administering morphine?

According to these guidelines, patients’ vital signs (including heart rate, blood pressure, oxygen saturation and respiratory rate) and pain relief should be monitored before, during and after morphine administration. We estimated that a nurse would spend 2 minutes checking a patient’s vital signs and/or pain levels.

What should a nurse do before administering medication?

Prior to the administration of medications, the nurse must check and validate the medication order, and also apply their critical thinking skills to the ordered medication and the status and condition of the client in respect to the contraindications, pertinent lab results, pertinent data like vital signs, client …

What are the 3 checks in nursing?

Frequency – how often a medication must be given. MAR – medication administration record. Route – how a medication is given. Time – when the medication is scheduled on the MAR.

What should the nurse assess in a patient who is receiving patient controlled analgesia?

Monitoring requirements should be developed for patients who are receiving PCA. At a minimum, the patient’s level of pain, alertness, vital signs, and rate and quality of respirations should be evaluated every four hours. The staff must be alert for signs of oversedation.

What do you need to do before administering naloxone quizlet?

You should wait 4 minutes before administering the second dose. The recommended dose is 2 mg intranasal or 0.4 mg intramuscular. If the naloxone is premeasured, administer the entire dose.

What order for naloxone would be appropriate for the nurse to administer for reversal of opioid effects?

The steps outlined in this section are recommended to reduce the number of deaths resulting from opioid overdoses.

• STEP 1: EVALUATE FOR SIGNS OF OPIOID OVERDOSE.
• STEP 2: CALL 911 FOR HELP.
• STEP 3: ADMINISTER NALOXONE.
• STEP 4: SUPPORT THE PERSON’S BREATHING.
• STEP 5: MONITOR THE PERSON’S RESPONSE.

What are nursing priorities?

These include: the expertise of the nurse; the patient’s condition; the availability of resources; ward organization; philosophies and models of care; the nurse-patient relationship; and the cognitive strategy used by the nurse to set priorities.