A spouse of a hospice client wants to know why the sublingual dose of morphine i

Question

A spouse of a hospice client wants to know why the sublingual dose of morphine is so much lower than the MS Contin dose that was given orally, and the IM dose that was recently given in the hospital, how should the nurse respond?

MS Contin acts slowly. Sublingual morphine acts rapidly, with more intensity

He is losing consciousness, so his need for pain control is less

The MS Contin was partly metabolized in the liver before it started working

Sublingual doses enter the bloodstream more quickly than IM doses, so their effects can be more sudden and profound.

This dose must be a mistake. He should need more medicine, not less. You should contact the provider immediately, and tell him I told you to call.

MS Contin acts slowly. Sublingual morphine acts rapidly, with more intensity

He is losing consciousness, so his need for pain control is less

The MS Contin was partly metabolized in the liver before it started working

Sublingual doses enter the bloodstream more quickly than IM doses, so their effects can be more sudden and profound.

This dose must be a mistake. He should need more medicine, not less. You should contact the provider immediately, and tell him I told you to call.

Explanation / Answer

Morphine is a opioid analgesic to treat pain commonly used in hospice care.It was given in low dose sublingually because it directly enters the bloodstream quickly than a IM injection and its effect is more sudden and profound.

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