立场陈述:疼痛管理中的范围顺序
Lauren Renner1, Debra J Drew2, Anne Smith3
1Nationwide Children's Hospital, Columbus, Ohio.
概括
美国疼痛管理护理学会 (ASPMN) 倡导在止痛药的使用中安全使用pro re nata (PRN) 范围. 如果正确执行,这些命令可以提高灵活的剂量,以实现最佳的疼痛管理和患者安全.
科学领域:
- 护理实践 护理实践
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 在疼痛管理中,经常使用pro re nata (PRN) 范围的顺序,以允许灵活的止痛剂量.
- 特定于患者的因素需要进行临床评估,以确保安全的药物管理.
- 关于联合委员会关于PRN范围订单的标准存在误解,导致人们对其安全性和实施感到担忧.
研究的目的:
- 为了澄清美国疼痛管理护理学会 (ASPMN) 关于安全和适当使用止痛药的PRN范围订单的立场.
- 解决围绕联合委员会关于范围订单的标准的持久神话.
- 强调PRN范围顺序在护理实践中促进最佳疼痛管理中的作用.
主要方法:
- 这是美国疼痛管理护理学会 (ASPMN) 的立场声明.
- 该声明侧重于专门针对止痛药的PRN范围订单的应用.
- 它涉及护理实践与药物管理有关的范围.
主要成果:
- ASPMN支持与止痛药的PRN范围订单相关的安全药物实践.
- 当适当和一致地使用时,PRN范围命令可以安全有效.
- 这些订单允许护士根据患者个体需求量身定制止痛剂剂量.
结论:
- 当PRN范围命令被正确执行时,对于护士来说,它是治疗患者疼痛的宝贵工具.
- 消除关于范围订单的迷思对于它们的适当利用至关重要.
- 通过明智地使用PRN范围命令,可以实现安全的管理和最佳的疼痛缓解.
更多相关视频
相关概念视频
01:25Analgesia and Pain Management
632
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
632
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
307
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
307
01:20Pain
481
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
481
01:14SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
01:20Opioid Analgesics: Morphine and Other Natural Cogeners
259
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
259
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
641
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
641