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Patient Controlled Analgesia exam questions with 100% Correct Verified Answers| Rated A
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Patient Controlled Analgesia examquestions with 100% Correct Verified
Answers| Rated A
Meperidine-Demerol-Not recommended for PCA unless - AnsUnless morphine
or hydromorphine are contraindicated
Meperidine should not be used for how long and what dose - Ans>48 hours
>600mg/day with normal renal function
General equivalents with Morphine, Dilaudid, Demerol - AnsMorphine 1 mg IV
Dilaudid 0.2 mg IV
Demerol 10 mg IV
Side effects of PCA - AnsExcessive sedation, respiratory depression, nausea nd vomiting,
Pruritus, Constipation, Urinary Retention
Most of the reported adverse reactions with PCA are related to - AnsThe individual drugs
administered and the dose, not the method of PCA
When theres a concern about patients sedation and/or respiratory rate, the first course
of action is to - AnsAdministered oxygen
After oxygen, next step is to - AnsAdjust drug dose
, After adjusting drug dose, might give what - AnsNaloxine (Narcan) 0.02-0.2 mg IV every 2-3
minutes
Drugs given for Nausea - AnsReglan, Compazine, Phenergan, Zofran
Drugs given for Pruritus - AnsBenadryl, Vistaril
Opioid related constipation results from - AnsDecreased GI Motility
When on opioid analgesia, daily assessment of what is required - AnsDaily assessment of bowel
movements
Most common side effect of opiods - AnsConstipation, and tolerance does not develop
To reduce constipation - Ansgive stool softeners, PRN Cathartics, adequate fluid intake
When the patient presses the button and the dose of medication is received, this is called what
- Ansthe Delivered Demand Dose or Patient Maintenance Dose
Immediately following the delivered demand dose is a period of time where patient
cant receive any med, called - AnsLockout Interval
When the button is pushed during this period, machine registers what - Ansan Unmet Demand
When determining the lockout interval, what should be considered - AnsDrugs onset and peak
time (usually 6-10 minutes)
Titration of PCA doses are based on - AnsPain and sedation scores
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