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(PDF) Patient-controlled analgesia

   

Added on  2021-02-19

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PATIENT CONTROLANALGESIA

Table of ContentsINTRODUCTION...........................................................................................................................3TASK...............................................................................................................................................3Patient control analgesia in orthopaedic ward............................................................................3Guidelines and policies for PCA.................................................................................................3Preparation of PCA.....................................................................................................................4Discarding PCA..........................................................................................................................4Documentation on using PCA.....................................................................................................5Different medication used as PCA..............................................................................................5Indication of PCA.......................................................................................................................5Side effect of PCA......................................................................................................................6More information related on PCA...............................................................................................6CONCLUSION................................................................................................................................7REFERENCES................................................................................................................................8

INTRODUCTIONPatient control analgesia refers to a delivery system with which sick people can selfadminister predetermined doses of analgesic medications in order to relieve their pain. It includesto make an individual capable to control their pain by making them knowledgeable (Assoulineand et. al., 2016). The present report will focus on patient control analgesia in orthopaedic wardincluding appropriate guidelines as well as policies of PCA. It will also includes the descriptionabout preparation and discarding of PCA along with proper documentation on using PCA. Thedifferent types of medications used as PCA and indication as well as side effects of PCA is givenbelow. TASKPatient control analgesia in orthopaedic wardPatient control analgesia can be described as a type of pain management in which aperson self decide that when they should take dose of pain relieving medicines. It has beenanalysed that post operative pain management can be known as a critical task in respect ofoptimal care of orthopaedic surgery patients. However, the opioids are considered as an effectivefor reducing severe pain as it administer intramuscularly as epidurals or IV as patient controlledanalgesia. It has been analysed that infusion pumps can be used after total knee arthroplasty andanterior cruciate ligament (ACL) that are considered as effective method of adjunctive therapy aswell as pre emptive analgesia. Meanwhile, it is observed that oral opioids are known as moreefficient analgesic for moderating severe pain (Fabi, 2016). At the other hand, tramadol is mucheffective in comparison to morphine along with containing fewer severe side effects which ismostly preferred to use in moderately severe pain. In context of pain management of knee, hip &ACL procedures, the opioid sparing NSAIDS (Nonsteroidal anti-inflammatory drugs) likeketorolac and COX-2-specific NSAIDS are prescribed by physicians accordingly. Guidelines and policies for PCAPatient controlled analgesia consist number of guidelines & policies which are discussedhere. Initially, All registered nurse caring for patients receiving PCA should complete and passtheir opioids competency annually (Song And et. al., 2016). Secondly, PCA can be utilise incontext of moderate to severe pain management while inadequate analgesia would results fromoral analgesia or intermittent IV morphine boluses. Thirdly, contradiction to PCA consist that if a

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