A patient has sustained a moderate burn injury and requires pain management. Which medication prescription should the emergency department nurse implement?
1. Morphine sulfate 4 mg IV every 2 hours
2. Fentanyl 50 mcg IM every 2 hours
3. Codeine 30 mg PO every 3 hours
4. Ibuprofen 800 mg PO every 6 hours
1
Rationale 1: Opioids are appropriate for pain control and should be given IV during the emergency phase of burn care.
Rationale 2: Pain medications are not administered IM during the emergency treatment of burns due to poor absorption.
Rationale 3: Pain medication should be administered via a different route.
Rationale 4: Initial pain control is achieved with opioids. NSAIDs are used as the burn injury heals.
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