Morphine sulfate (30 mg) IM PRN was prescribed for pain for an 80-year-old patient with emphysema who weighs 100 lb. What is the most appropriate action for the licensed practic-al/vocational nurse (LPN/LVN)?
a. Transcribe the order and wait to see if the patient needs it.
b. Transcribe the order for an oral dose in-stead of IM dose.
c. Call the physician and clarify the order.
d. Tell the RN about the order.
D
Morphine is usually given in a dose of 10 mg (one-sixth grain) IM. The usual oral dose is 0.5 gr (30 mg). The order should be called to the attention of the RN so that the intent can be clarified before transcribing the order for the older patient, who usually requires a smaller dose.
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