Fentanyl pca dose
[DOC File]Inpatient Pain Management
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They are getting around 10 milligrams when they come to the ER, and then we set up the PCA so that there is a trigger dose. The trigger dose is based on 0.02 milligrams per kilogram of lean body weight.
[DOCX File]Adult Acute Pain Protocol – Post Anaesthesia Care Unit
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The maximum protocol amount is a total of 20mL, unless otherwise specified by the anaesthetist. This is equivalent to 200microg of fentanyl, 20mg of morphine or 20mg of oxycodone. The minimum time between doses of fentanyl is 3 minutes. The minimum time between doses morphine or oxycodone 5 …
[DOC File]Pasero Opioid-induced Sedation Scale with Interventions
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1 If opioid analgesic orders or hospital protocol do not include the expectation that the opioid dose will be decreased if a patient is excessively sedated, such orders should be promptly obtained. 2 For example, the physician, nurse practitioner, advanced practice nurse, or physician assistant responsible for the pain management prescription.
[DOC File]Equianalgesic Chart (Changes in italics)
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Dose Usual PCA Demand Bolus (Range) Usual Lockout . Range Usual. Basal Rate Morphine (1 mg/ml) 5 – 10 mg 1 mg (0.5 - 2.5 mg) 5 - 10 min None or 1 - 2 mg/hr Hydromorphone (Dilaudid®) (0.2 mg/ml) 0.5 – 1.5 mg 0.2 mg (0.05 - 0.4 mg) 5 - 10 min None or 0.1 - 0.4 mg/hr Partially adapted from the Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain, American Pain Society ...
[DOC File]ACUTE PAIN SERVICE GUIDELINES & PROTOCOLS
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Dilute 1200 mcg (24 mls) of Fentanyl with 36 mls of Normal Saline, up to a total of 60 mls (final Fentanyl concentration = 20 mcg/ml) Switch the default medication from “Morphine” to “Fentanyl” upon programming the PCA pump. Dose recommendations for adult patients only (upper limit for bigger adults)
[DOC File]PCA (Patient Controlled Analgesia) Adult Standard and ...
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setting change. Record mg (morphine) or mcg (fentaNYL) of drug administered every 4 hr on the PCA flowsheet. OPIOID TOLERANT PCA ORDERS. For use in patients who TAKE OPIOIDS CHRONICALLY or display HIGH OPIATE REQUIREMENTS. Medication (Concentration) PCA Dose Lockout Interval MANDATORY 4 hr Limit Continuous Rate (CR) Loading. Dose Morphine
[DOC File]Rajiv Gandhi University of Health Sciences
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Patients receiving fentanyl PCA infusion dose of 0.5mcg/kg/hr and bolus of 0.5mcg/kg/hr on demand with lock out period of 20minutes. STATISTICAL ANALYSIS OF DATA. Pain scores in each group will be represented as median and quartiles. Use of supplementary drugs, presence of complications, sedation scores and patient’s appraisal of the analgesic technique will be represented as numbers and ...
[DOC File]Code Status Form
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Fentanyl (SUBLIMAZE) Initial loading dose: 50mcg. PCA dose: 25 mcg. Lockout: every 15 minutes. Continuous rate: None. Four hour limit (optional) 400mcg Patient Information INTRAVENOUS PCA ORDER. AHH-NURS-019 10.10. Title: Code Status Form Author: Brandee Lovercheck Last modified by: blovercheck Created Date: 10/18/2010 12:50:00 PM Company: Acuity Other titles: Code Status Form ...
[DOC File]Novel Technologies for Patient-Controlled Analgesia
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Morphine is the standard drug of choice for PCA in the U.S. [Sinatra 1989, p585] Hydromorphone, oxymorphone, and fentanyl are the future options with significant advantages over morphine, which include more rapid onset and fewer side effects although [Sinatra 1989, p589] a loading dose is required to achieve an effective plasma concentration. Once the effective plasma concentration is attained ...
[DOCX File]Ketamine for Analgesia
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Administration of continuous infusion ketamine for analgesia ranges from 0.06-0.6 mg/kg/hr (1-10). Of note, doses
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