Pain and sedation icu
[DOC File]Sedation and Paralysis
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Sedation is actually used to mean two things in the ICU, because we have two goals: to either: - make the patient sleepy for one reason or another, or - give the patient pain relief, or - both, - safely! To do this, we use a number of different meds in drips and pushes, depending on what we’re trying to do.
[DOC File]ICU SEDATION GUIDELINES
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Sedation is an essential component of care for the critically ill patient. The goal for sedation in the ICU is to provide comfort and anxiolysis, and facilitate mechanical ventilation or procedures. An ideal regimen should control anxiety and agitation, and provide amnesia while minimizing adverse effects. Practices of ICU sedation vary widely.
[DOCX File]Bibliography: Sedation, Delirium, and Mobility in ICU Patients
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Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit. Care Med. 2013; 41(1):263-306.
[DOC File]PROCEDURAL SEDATION AND ANALGESIA BY NON …
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To provide guidelines for the use of sedation and analgesia during diagnostic and therapeutic procedures and to assure a uniform and appropriate level of care in all areas in which PS&A is provided. The goals of PS&A are to: a. Guard the patient’s safety and welfare. b. Minimize physical discomfort or pain.
[DOC File]ICU Comfort Care: principles, guidelines, and goals
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When opioids or sedation are increased the justification for the increase should be documented in the medical record with particular attention to objective criteria such as tachypnea, tachycardia, diaphoresis, grimacing, accessory muscle use, or moaning, nasal flaring, and restlessness. ... c. Ensure medications to relieve pain, dyspnea and ...
[DOCX File]Harris Regional Hospital | Sylva, NC
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Physician order to withhold daily sedation vacation. Procedure for daily vacation from . Propofol: Manage pain. Use FLACC or most appropriate form of pain assessment. Provide pain medication/intervention as appropriate. Reduce Propofol rate in half. If after 30 minutes patient is still not overly agitated or delirious stop the Propofol drip.
[DOC File]ICU Patient
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The Behavioral Pain Scale (BPS) and the Critical-Care Pain Observation Tool (CPOT) are the most valid and reliable behavioral pain scales for monitoring pain in medical, postoperative, or trauma (except for brain injury) adult ICU patients who are unable to self-report and in whom motor function is intact and behaviors are observable.
[DOC File]Daily Patient Goals – ICU/CCU
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Pain Management and Sedation - Neuro Cardiac/Volume Status Pulmonary / Ventilator ( Yes ( No. Reintubation. in the last 7 days? ... 1013 ( 2013 ( Suicide Risk ( What needs to be done to discharge patient from ICU? Discharge Planning? Has this patient been . readmitted . to the ICU in the last 48 hours since ICU discharge? ...
[DOCX File]ICU SEDATION GUIDELINES
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A realistic goal for pain management in the surgical patient is to . minimize . the sensation of pain rather than . eliminate . it. Pain may be alleviated through the combined use of analgesics (addressed in this evidence-based medicine guideline) and sedatives (addressed in …
[DOCX File]NYSPFP
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Adult ICU Pain and Sedation Guideline for Mechanically Ventilated Patients. Exclusion Criteria:-Patient receiving sedation for seizures, ETOH withdrawal or other condition where stopping sedation . would be detrimental or patients receiving neuromuscular blockade
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