Action: stimulates MU and Kappa receptors
Use: analgesia, pre-anesthetic, relief of SOB, PCA pump
Ad eff: N/V, dizzy, dependance, constipation, sedation, restlessness, tolerance
Nsg C: assess for potential dependency. educate pt about PCA pump, assist w/ activity.
Monitor pain level using scale before and after.
Monitor VS= resp around the clock Hold<12, <10 give Narcan
Monitor urine output for retention, monitor BM
Monitor constipation (Narcan is the antidote)