June 2005, Volume 35 Number 6 , p 12 - 12
© 2005 Lippincott Williams & Wilkins, Inc. Volume 35(6) June 2005 p 12 Long-acting concerns [MEDICATION ERRORS: EPIDURAL INJECTION]
COHEN, MICHAEL R. RPH, MS, ScD
President of the Institute for Safe Medication Practices
A new extended-release morphine sulfate solution (DepoDur) that's administered by epidural injection relieves postoperative pain for about 48 hours. But the once-and-done approach poses challenges because no infusion device or continuing orders remain to signal that the patient has received the drug. Potential problems include:
* oversights in postoperative monitoring . The presence of an epidural catheter or patient-controlled analgesia pump would prompt nursing attention, but these devices aren't necessary once DepoDur is injected. The patient should be closely monitored for at least 16 hours after drug administration for serious ...