Patient Controlled Analgesia Study guides, Class notes & Summaries

Patient-controlled analgesia - ANS A method of pain control that allows the patient to have control over their pain relief. It involves the patient self-administering pain medication through a device. Compliance - ANS The patient's adherence to the prescribed treatment and instructions given by healthcare professionals. Pain relief - ANS The alleviation of pain or discomfort experienced by an individual. Nurse response - ANS The time it takes for a nurse to address the patient's request ...

What % of pregnant patients require surgery? What are some of the common sx's? - ANS 2% Trauma sx's, Ovarian cysts, appendectomy, cholecystectomy, breast biopsy, cervical cerclage, kidney stones What are the 2 biggest concerns of sx on pregnant patients? If possible, delay surgery until after ??? trimester, pre-term labor is not as common during which trimester? - ANS Teratogenicity and Miscarriage If the surgery can be delayed until the 2nd trimester, the risk of these concerns are less...

Properties of anesthetic - ANS Loss of consciousness Inhibition of sensory and autonomic reflexes Amnesia Skeletal muscle relaxation What is an analgesic? - ANS Altered or diminished sensation of pain Does an analgesic have the same properties as anesthetic? - ANS No. Analgesics do not have loss of consciousness, sensation, reflexes, or amnesia True or False: Drugs with more than one therapeutic property will display all properties when taken. - ANS True. Depending on the desired therape...

Verified the health care provider's orders - ANS Confirmed the accuracy of the medical instructions from the doctor Gathered the necessary equipment and supplies - ANS Collected the required tools and materials for the procedure Check IV bag for leaks, clarity, etc. - ANS Examined the intravenous bag for any signs of leakage, checked the clarity of the solution, and verified other relevant factors Check expiration dates - ANS Ensured that the medications and supplies have not expired

PCA therapy is based on what theory - AnsPatients will automatically regulate the delivery of analgesic to provide effective pain relief Titration of maintenance PCA doses are based on - AnsPain and Sedation Scores When evaluating a patient to place on PCA therapy, what factors take into account? - AnsPatient age and psychological state Concurrent disorders Tolerance of Opiods

Principle of patient controlled analgesia - ANS Pt can administer small doses of the drug at frequent intervals to provide optimal pain relief How is PCA delivered? - ANS Via IV or into the spinal canal that is controlled by the patient What is the loading dose?**** - ANS A single large dose that is given initially to establish analgesia. It brings the analgesia to the therapeutic window What is the demand dose? - ANS Amount of drug that is self-administered by the pt each time they activ...

Can Buprenorphine (Narcotic) be given IV? - ANS Yes (pg 223) Moderate sedation definition - ANS -Depressed level of consciousness -Ability to maintain own airway -Ability to respond appropriately to physical stimulation and or verbal command -Conscious sedation Minimal sedation - ANS is equivalent to anxiolysis (nitrous oxide), that is, a drug-induced relief of apprehension with minimal effect on sensorium. Commonly used for dental procedures Moderate Sedation - ANS goal is to depress a ...