What should you assess after 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 you monitor before administering morphine?
Inspect Morphine Sulfate Injection for particulate matter and discoloration prior to administration. Direct Intravenous Injection The usual starting dose in adults is 0.1 mg to 0.2 mg per kg every 4 hours as needed to manage pain.
What should I check 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 …
What steps should a nurse take to ensure that a comatose client will not develop pressure ulcers?
Some ways to prevent bedsores from forming include: Repositioning Every Couple of Hours: Comatose patients should be repositioned every couple of hours (sometimes as little as every 30 minutes) and throughout the day to reduce their risk of developing these sores.
How does an angiotensin 2 receptor blocker work?
Angiotensin 2 receptor blockers are cardiac medications that lower the blood pressure by preventing the activation of angiotensin II type 1 receptors. It is vital the nurse knows how the drug works, side effects, the nursing considerations, and education to provide to the patient etc.
How does blocking angiotensin 2 affect the RAAS?
They affect the end result of the renin-angiotensin-aldosterone system (RAAS) by blocking the activation of angiotensin II receptor type I sites (AT1 receptors). This will prevent angiotensin II from binding to these receptors site.
How does losartan work on the angiotensin 2 receptor?
Angiotensin II receptor (type AT 1) antagonist acts as a potent vasoconstrictor and primary vasoactive hormone of the renin–angiotensin–aldosterone system. Selectively blocks the binding of angiotensin II to the AT 1 receptors found in many tissues (e.g., vascular smooth muscle, adrenal glands).
What are the side effects of an ARB blocker?
Monitor for Angioedema (very RARE for it to occur with an ARB compared to an ACE Inhibitor): This is swelling deep in the skin (dermis and subcutaneous tissue)…..very dangerous! Signs and symptoms: swelling on face (mouth, eyes, tongue, lips, dyspnea, swelling of extremities)….most commonly occurs in African American patients.