As the nurse settles the patient into his room after returning from the post-anesthesia care unit (PACU), the patient says he is in severe pain
The nurse checks the medical record and sees the patient has an order for morphine 4 to 8 mg every 1 to 2 hour IV as needed for pain. The nurse sees this medication has not been administered yet so the nurse administers 4 mg. After administering the drug, the PACU nurse calls to say a dose of morphine was given and not documented. What drug will the nurse be prepared to administer if the patient's respiratory rate is depressed? A) Naloxone hydrochloride tartrate (Narcan)
B) Butorphanol
C) Buprenorphine (Buprenex)
D) Nalbuphine hydrochloride (Nubain)
A
Feedback:
Naloxone is the drug of choice for treatment of opioid overdose. Butorphanol (INN) is a morphinan-type synthetic opioid analgesic that would not reverse the effects of an opioid. Buprenex (buprenorphine hydrochloride) is a narcotic-agonist-antagonist and would suppress respirations further. Nalbuphine is a synthetic opioid used commercially as an analgesic that would also depress respirations.
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