Question

Jordan weights 26 Kg, he has a patent IV line, and is reporting a “7” or...

  1. Jordan weights 26 Kg, he has a patent IV line, and is reporting a “7” or “hurts even more” on the Faces pain rating scale. The physician ordered Morphine 3 mg IV push Q 2 hours for pain greater than 6 on the pain scale. When you check the drug reference, you see that the safe dose range for Morphine is .05 - 0.1mg/kg per dose every 2-4 hours. What should the nurse do? (Show your calculations & then select from multiple choices below)

Show your medication calculation here:

  1. Administer the dose as ordered now
  2. Administer half the ordered dose now
  3. Do not administer the dose and notify the physician
  4. Provide distraction and wait for the pain to subside
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Answer #1

Maximum Safe dose for 26 Kg patient is = 26* 0.1 = 2.6 mg

But the physician ordered 3 mg dose. So the best course of action will be - don't administer the dose and notify the physician. (So that the physician can recalculate the required dose based on the weight).

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