Patient-Controlled Analgesia Flashcards

1
Q

First introduced in the 1980s as an alternative way to administer analgesic meds

A

PCA

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2
Q

• single large dose given initially
• bring levels of the analgesic to the therapeutic window

A

LOADING DOSE

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3
Q

Amount of drug self-administered by px each time he activates PCA delivery

A

DEMAND DOSE

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4
Q

Minimum amount of time allowed between each demand dose

A

LOCKOUT INTERVAL

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5
Q

Limiting total amt of drug given in a 1 or 4 hr period

A

1- and 4-hour limits

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6
Q

Small amt of analgesic continuously infused to maintain low level bg analgesia

A

BACKGROUND INFUSION RATE

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7
Q

Occur when patient activates PCA delivery system and receives a demand dose

A

SUCCESSFUL DEMAND

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8
Q

Powerful analgesics that act primarily on the BRAIN and SC to inhibit transmission and perception of nociceptive impulses

A

OPIOIDS (morphine, meperidine, tramadol, fentanyl, fentanyl derivatives [alfentayl, remifentanil, sufentanil])

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9
Q

Block transmission along afferent sensory neurons and increase sensation at SC level when used epidurally

A

LOCAL ANESTHETICS such as bupivacaine and ropivacaine

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10
Q

Most basic type of external pump

A

SIMPLE SYRINGE DRIVER

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11
Q

Most basic type of external pump

A

SIMPLE SYRINGE DRIVER

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12
Q

Peristaltic pump

A

SECOND TYPE

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13
Q

Works by drawing the med into a fluid container within the puml and expelling the selected amt out of the chamber into tubing that leads to the px

A

CASETTE SYSTEM

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14
Q

• placed beneath patient’s skin
• contain reservoir filled with medication
• some use a rotary peristaltic mechanism to milk medication out of pump

A

INTERNAL (IMPLANTABLE) PUMP

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15
Q

Most common method of systemic PCA administration

A

IV PCA

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16
Q

method of IV drug delivery located entirely within px body

A

CENTRAL VENOUS ACCESS DEVICE (CVAD)

17
Q

administering directly into area outside meninges

A

PCEA

18
Q

provides more effective analgesia w smaller amt of drug

A

EPIDURAL PCA

19
Q

self-administering med in specific anatomical site

A

PCRA

20
Q

iontophoresis, patch

A

PCTA

21
Q

When opioids are used, side effects: SPG

A

SPG

Sedation
Pruritus
GI probs

22
Q

Full name ni Doc?????

A

Vincent M. Luceño, MD, FPCP, DPRA

Medical Doctor
Fellow, Philippine College of Physicians
Diplomate, Philippine Rheumatology Association