Patient-controlled analgesia PCA pumps

High-risk drugs opiates and narcotics Limit floor-stock availability, double check patient-controlled analgesia (PCA) pumps Remove from floor stock ... 

The client who has had an abdominal surgery has returned from the post-anesthesia care unit (PACU) with a patient-controlled analgesia (PCA) pump. Which intervention should the nurse implement ... 

The male client diagnosed with renal calculi is receiving pain medication via a morphine patient-controlled analgesia (PCA) pump. The HCP prescribed the nonsteroidal anti-inflammatory drug (NSAID) indomethacin (Indocin) in a rectal suppository. Which action should the nurse take ... 

Request a patient-controlled analgesia (PCA) pump for the client. 

Crampy pelvic pain commonly occurs within the first 24 h of UAE and is usually controlled with a patient controlled analgesia (PCA) pump using morphine or another narcotic. Patients should be placed on an anti-inflammatory prior to the embolization and while in the hospital. Toradol intravenously prior to the embolization and during the hospitalization appears to be very effective. It is reasonable to develop a set of standard orders that the patient will receive to cover the most common eventualities. 

After removal of the common femoral artery vascular sheath and proper hemostasis is achieved, the patient is placed on monitoring for 4-5 h and patient controlled analgesia (PCA) pump and i.v. hydration are initiated. At the end of the monitoring period and if no untoward events are noted the patient is sent to the floor. Routine nursing checks and care are adequate thereafter. P.R.N. medication should include (in addition to the morphine or fentanyl PCA pump), anti-nausea and additional pain medication for breakthrough pain. Hydration is critical not only because of the patient s NPO status prior to the procedure and possible nausea, but more importantly to mitigate the consequences of a possible tumor... 

Using Fhtient-Co ntro lied Analgesia. Patient-controlled analgesia (PCA) allows patients to administer their own analgesic by means of an IV pump system (Fig. 19-1). The dose and die time interval permitted between doses is programmed into die device to prevent accidental overdosage. 

Lockout interval The minimum amount of time that must expire between each dose of medication that is administered by patient-controlled analgesia (PCA). The PCA pump is inactivated during the lockout interval so that the patient cannot self-administer excessive amounts of drugs. 

Improve the safety of using infusion pumps, such as ensuring free-flow protection on all general-use and patient-controlled analgesia (PCA) intravenous infusion pumps used in the organization. 

Patient-controlled pumps are specific infusion pumps that can be activated by the patient via a pressure pad or button. It is the method of choice for patient-controlled analgesia (PCA), in which repeated small doses of opioid are delivered, with the device coded to stop when the maximum dose per interval is reached. 

Medico-technical instruments such as infusion pumps can be used in PCA (patient-controlled analgesia, Fig. 1) to provide patient-orientated and therapy as required, e.g. with morphine injection solutions. Depending on the patients perception of pain, they may add small doses of analgesics to the basic infusion by means of an electrically controlled infusion pump. The physician specifies the basic dose, which is infused independent of patient demands, the boluses that can be demanded, an hourly maximum dose and a refractory time that cannot be reduced between two doses. The infusion may be given intravenously, subcutaneously, epidurally or intraspinally. 

---