FormWeb • morphine

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Approved Formulary

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morphine

morphine

Restricted Medications Unit restrictions

Brand names: AVINza, Duramorph, Kadian, morphine sulfate, morphine sulfate CONCENTRATE, MS Contin, MS IR, Oramorph SR

Form	Strength
CAPSULE, EXTENDED RELEASE, ORAL	20 mg/24 hr; 30 mg/24 hours
SOLUTION, INJECTABLE	1 mg/mL preservative-free; 15 mg/mL
SOLUTION, INTRAVENOUS	2 mg/mL preservative-free; 4 mg/mL preservative-free; 8 mg/mL preservative-free; 10 mg/mL preservative-free
SOLUTION, ORAL	10 mg/20 mL
TABLET, EXTENDED RELEASE, ORAL	15 mg/12 hr; 30 mg/12 hr; 100 mg/12 hours
TABLET, ORAL	15 mg

Display Opioid Agonists Class: 280808

High Alert Drug : Policy

Medication comments:

High Alert Drug: Epidural
• Alert sticker placed on both sides of all bags of epidural infusions at the time of dispensing and on epidural lines • Special monitoring - flow sheet, EMR documentation, order sets • Guidelines for timing of anticoagulation

High Alert Drug: IV Narcotics/opiates used in PCA’s
• Standardized concentrations. • Electronic order set. • Special monitoring required - flow sheet. • Two RNs independently verify pump settings and drug prior to administration.

Per policy, these medications require cardiac and/or special monitoring. (KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
morphine Epidural management only	Y	Y	Y	Y	Y	Y	Y	N
morphine IV Push,IV Infusion PCA for pain management	Y	Y	Y	Y	Y	IV Push only	IV Push only	IV Push only
morphine IV Push sedation / analgesia by non-anesthesia personnel Key: designated staff	Y	N	N	N	N	N	N	N
morphine (Roxanol oral concentrate 20 mg/ml) Oral	Y	Y	Y	Y	N	Y	Y	Y

Last updated: Jan. 12, 2023

Black Box Warnings 24-hour observation following epidural/intrathecal administration
Look-Alike/Sound-Alike morphine confused with HYDROmorphone
REMS extended release tablets, capsules

Class II

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

This site is intended for the staff of Iredell Memorial Hospital.
While others may view accessible pages, Iredell Memorial Hospital makes no warranty, express or implied,
as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.