Hi Carole, We occasionally use subcutaneous morphine for pain management. We use 27gx1/2 inch sets. We prepare site just as we would for a peripheral IV and rotate q3days. INS Policies and Procedures, 2nd edition recommends q3-5day rotation. We don't plan to administer more than 3ml/hr via this route, and less if the patient's site cannot tolerate. We increase the concentration of the morphine to accommodate.
KayBeth Weibel, CRNI Infusion Network Falmouth, MA -----Original Message----- From: ann marie parry [mailto:[EMAIL PROTECTED] Sent: Saturday, February 25, 2006 8:15 PM To: [EMAIL PROTECTED] Subject: Re: [vascular] SQ Morphine infusion We occasionally, successfully managed pain in palliative med and hospice patients with pain management via the sub q route when there is not vascular access and the patient is not expected to be around for a long along with other reasons - our policy is to change q 5 days and prn- using alcohol and chloraprep cover with tegaderm there are limits on the amount you should infuse - need to check to absorption problems and may need to rotate the site more frequently on patients with lower amounts adipose tissue - email me with specific questions - I can fax you something on monday or you can talk with you by phone Ann Marie VITALine Home Infusion Pharmacy 1-800-245-8767 ----- Original Message ----- From: [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> To: [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> Sent: Saturday, February 25, 2006 2:43 PM Subject: [vascular] SQ Morphine infusion Hi, Has anyone heard of having a PCA (patient-controlled analgesia) infusion with morphine by using the subcutaneous route? The patient had a 25-gauge needle to her left upper chest connected to a pump upon admission from the host hospital. Staff called me looking for our P & P -- which we do not have -- limited info on the internet. Can anyone share information about this, maybe even a protocol? Thanks so much, Carole -- If you want to share pictures, use the calendar, or start a vote visit http://www.smartgroups.com/groups/vascular<http://www.smartgroups.com/groups /vascular> To leave the group, email: [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] .com> Report abuse http://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23084<htt p://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23084> ====================================================================<<< Whatever you Wanadoo, click below: http://ads.smartgroups.com/adclick/CID=000000b7c79a99a500000000 ====================================================================>>> -- If you want to share pictures, use the calendar, or start a vote visit http://www.smartgroups.com/groups/vascular To leave the group, email: [EMAIL PROTECTED] Report abuse http://www.smartgroups.com/text/abusereport.cfm?gid%3D797122&mid%3D23090
