Patient education of PCA therapy by the RN will occur: 1) In PACU initiation of PCA 2) During the peroperative period 3) In the postoperative period when the patient returns to the nursing unit 4) When the patient is having difficulty understanding the PCA therapy
2,3
1,2,3
1,2,3,4
The frequency of which a patient may receive a specific PCA dose of analgesia is known as:
4 hour dose limit
PCA dose
Lockout interval
Loading dose
When is it necessary to check the PCA settings with another RN and co-sign on the pain flow sheet? 1) at the beginning of each shift 2) when PCA is first ordered 3) when PCA settings are changed 4) when the PCA cassette is changed
1,2,3,
2,3
1,2,3,4
2,3,4
Your patient Mr. Healthy, 45, has been receiving PCA therapy for 3 days- * Meperidine (Demerol) 10mg/ml * PCA dose of 30 mg * Lockout of 5 mins * 4 hour dose limit of 200mg Mr. Healthy's consumption of Demerol is consistently close to the 4 hours limit. Today you notice a new hand tremor. You ask him how he feels and he says "jumpy". Do you need to report your findings? Yes____N0_____and why/ why not?
Yes I need to report my findings and my reasons for this are as follows:
No I do not need to report my findings and my reasons for this are as follows:
If you answered yes, which one of the following options would be most appropriate in this situation?
-Ask the APS to decrease the PCA dose back to 10 mg every 7 minutes
-Request that PCA be discontinued and the patient ordered Demerol 75-100mg IM q4 hrs post-op.
-Tell Mr Healthy that he is using too much and to use less. This is his third day and the pain should be decreasing.
-Request a change to an alternate opiod.
List 4 items of information about PCA that the patient should know:
Describe the action of Naloxone
Describe the actions to be taken if the patient is receiving inadequate pain relief?