Question of the Week
One hour after initiation of continuous epidural morphine at 6 mL/hr, the catheter dressing has become saturated with a clear fluid and the patient is very somnolent, with BP = 92/56, HR = 62, R = 6 to 8, and SpO2 = 89%. The appropriate intervention is to:
- decrease the infusion rate to 2 mL/hr and assess motor and sensory levels.
- stop the infusion and call anesthesia to assess possible catheter migration into the subarachnoid space.
- decrease the infusion rate to 4 mL/hr and administer naloxone.
- continue the infusion and call anesthesia to assess the need to change the infusion settings.