🩺 PCA stands for patient-controlled analgesia πŸ‘‰πŸΌ

🩺 PCAs are commonly ordered for patients that are post-op, have sickle cell, have severe acute pain, or those that have cancer associated pain 😣

🩺 Opioids like hydromorphone (Dilaudid), morphine and fentanyl are the most common drugs administered via PCA πŸ’‰

🩺 The pump may be set to have a continuous rate (basal) and or a bolus. The basal runs continuously and the bolus is delivered when the patient presses the delivery button πŸ”˜

🩺 It’s important to educate the patient that they cannot overdose as the machine limits the total dose they can recieve per hour (hour max limit) ❌

🩺 The patient should also be encouraged to monitor their own pain and press the button πŸ”˜ when they need it. This gives the patient a sense of control over their pain.

🩺 As the nurse you will be expected to closely monitor the patients vital signsπŸ«€, especially 🫁 respirations, SpO2πŸ’¨, BP and pain levels. Capnography may also be monitored.

🩺 Be sure to document πŸ“ the amount of times the button is pressed as well as how many doses were delivered.

🩺 A key πŸ”‘ is needed to program and insert the medication syringe πŸ’‰Β