Following surgery, a woman receives morphine via a patientcontrolled analgesia (PCA) pump. A few hours after arriving on the floor, she is found barely breathing. The terminology relating to the concept of Patient Controlled Analgesia is defined below. Loading dose this is the total opioid dose, which is initially required to provide analgesia. It is administered either by presetting of the PCA pump and allowing automatic administration, or by nurse administration in the recovery setting.
Patientcontrolled analgesia (PCA) is a type of pain management that allows you to decide when you will get a dose of pain medicine. You dont need to wait for a nurse, and you can get smaller doses of pain medicine more often. The patientcontrolled analgesia (PCA) pump is a computerized machine that gives you a drug for pain when you press a button. In most cases, PCA pumps supply opioid paincontrolling drugs such as morphine, fentanyl, and hydromorphone.
This policy is to ensure the management of Patient Controlled Analgesia (PCA) is performed in a standardised manner using best has an understanding of the management of the PCA pump and can safely self titrate analgesia to meet their individual requirements Manual Intrathecal Morphine policy Fluid and Medication Management Manual Patientcontrolled analgesia (PCA) is a method of opioid administration using a computercontrolled pump that enables the patient to deliver small boluses as needed up to a preset maximum.
From: Manual of Pediatric Hematology and Oncology (Fifth Edition), 2011 A client who is using a patientcontrolled analgesia (PCA) pump after bowel surgery states, " I'm afraid that I'll become addicted if I use too much morphine.
" Which would be the best response by the nurse? Patient Controlled Analgesia (PCA) pumps were developed to address the problem of undermedication. They are used to permit the patient to selfadminister small doses of narcotics (usually Morphine, Dilaudid, Demerol, or Fentanyl) into the blood or spinal fluid at frequent intervals.