PCA Pump Questions and Answers with Verified Solutions

PCA Pump Questions and Answers with Verified Solutions Learning Objectives -Discuss patient and family teaching necessary when PCA is prescribed -Differentiate the ypes of patients who are potential candidates to use patient controled analgesia (PCA) -Initiate appropriate actions if the patient experiences side effects or complications from PCA therapy -Demonstrate the ability to recall the PCA "history" and programmed prescription using the programming functions of the PCA infusion pump -Discuss the prarameters for patient assessment and documentation using the PCA flow sheet, included calculating PCA medication dosages -Identify the classification of nursing personnel who may set up and program a PCA machine What is a PCA? Patient Controlled Analgesia (PCA) -IV device that allows pt. to take active role in pain control Pt. has control over when to receive Med Why do we use PCA -better pain control -improved patient satisfaction Pressing button delivers pain medicine -a predetermined dose of narcotic analgesic delivered Who can use this? -Patient must be mentally, emotionally, and physically able to assess his/her own pain needs -Children 7 years of age or older who have normal cognitive development -Use cautiously with patients with history of drug/ETOH abuse, respiratory distress and elederly How does it work? -MD order: medication, amount, delivery mode -Nurse programs machine -Patient and family education -Patient presses button to receive medication -Lockout Delivery Mode Depending on MD order -continuous (rare used with epidural) -bolus -both All modes set up with NS infusing Medications *-Morphine sulfate: 1mg/mL in 30cc NS = 30mg -Fentanyl: 10mcg/mL in 30cc NS = 300mcg -Dilaudid: 0.2mg/mL in 30cc NS = 6mg Always have Narcan available Rules (for patient) -Always put sign in room -Always give patient rules and information -Pt is the ONLY person who can press button -Do not press if dizzy or sleepy -Do not eat if you a re sleepy -Do not take any other home medications -No other narcotics