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Exam (elaborations)

PCA: Patient Controlled Analgesia Latest Edition (2026/2027) with Verified Answers

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This document contains questions and verified answers for PCA: Patient Controlled Analgesia . It includes detailed explanations, revision-focused content, and exam preparation material suitable for 2026/2027 students.

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PCA: Patient Controlled Analgesia

Biggest risk for opioid patients? - ANS-Respiratory depression

Dilaudid - ANS-0.2 mg/ml in 30cc NS = 6mg

Fentanyl - ANS-10 mcg/ml in 30cc NS = 300 mcg

How does a PCA pump work? - ANS-*MD order- med, quantity, shipping mode
*nurse applications gadget- double verify
*patient and own family training
*patient presses button to acquire med
*lockout

Morphine Sulfate - ANS-1 mg/ml in 30cc NS = 30mg

Narcotics Side Effects - ANS-Nausea (Zofran)
Itching (Benadryl)
Drowsiness
Urinary Retention
Constipation (Miralax, Colace, Senna)
Hallucinations
Slow Breathing Rate
Oversedation!!

Obtunded - ANS-State of being unable to arouse with lively stimulation.

PCA Assessment and Documentation - ANS-Every hour x four then q 4 hours
RR, HR, B/P, Sedation Level, Pain Score
Boluses attempted/ delivered and total
Dose received

For modifications in dosage/ frequency, repeat q 1 hour x 4 then q 4 hours

PCA Delivery Modes - ANS-Continuous- rarely see this by myself on PCA
Bolus- handiest receive med when button driven
Both- frequently small amount non-stop with button bolus further
**All modes require NS infusing to push med through lines**

PCA Medications - ANS-Morphine Sulfate
Fentanyl
Dilaudid

Always have Narcan available

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  • pca competency
  • biggest risk for opioid patients ans respirator
  • obtunded ans state of being unable to arouse wit

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