What side effects of patient controlled analgesia are of most concern?

September 2, 2020 Off By idswater

What side effects of patient controlled analgesia are of most concern?

Postoperative nausea and vomiting is the most common adverse event associated with IV PCA, which is related to the anesthetic utilized, the patient’s anxiety level, and the degree of pain experienced.

What are complications of PCA pain management?

The most observed adverse effects of opioid-based PCA are nausea and vomiting, pruritus, respiratory depression, sedation, confusion and urinary retention. Although intravenous PCA is the most studied route of PCA, alternative routes have extensively been described in the literature.

What are the effects of patient controlled anesthesia?

Adverse effects including nausea, vomiting, pruritus, urinary retention, sedation, motor block, and respiratory depression (< 8 breaths per minute) were recorded.

What should I monitor for PCA?

Monitoring the Effects of PCA At a minimum, the patient’s level of pain, alertness, vital signs, and rate and quality of respirations should be evaluated every four hours. The staff must be alert for signs of oversedation.

What is the greatest concern with patient-controlled analgesia?

Patient monitoring Opioid-induced respiratory depression is the most serious complication of PCA therapy. Although the incidence is low (2.3%) (3), it may lead to respiratory arrest if not recognized and treated promptly (12, 33).

Is patient-controlled analgesia effective?

PCA is safe and effective. The main risk is having a reaction to the opioid medicine. Side effects from opioids include: Allergic reaction.

What is the greatest concern with patient controlled analgesia?

What drugs are used in PCA?

The patient-controlled analgesia (PCA) pump is a computerized machine that gives you medicine for pain when you press a button. In most cases, PCA pumps supply opioid pain-controlling medicines such as morphine, fentanyl and hydromorphone.

Do you need fluids with a PCA?

To avoid the IV occluding between PCA tries, the patient should have maintenance IV fluids (with a minimum infusion rate of 5 mL/hr) running through an infusion pump (IVAC or similar).

What is the greatest concern with patient-controlled analgesia PCA by proxy?

PCA by proxy other than a nurse can be a highly dangerous practice as it negates a key safety measure of PCA use which is that a sleeping or sedated patient will not press the PCA button for more opioid administration (11).