Post op pain management Flashcards
- decreased mobility
- increased risk of infection
- atelectasis and pneumonia
- increased risk of venous thromboembolism
- impaired bowel function
- chronic pain syndromes
Complications related to uncontrolled pain
Each person’s pain is ______
Use same pain ____ each time
unique, scale
So pain can’t be compared on 2 patients with the same surgery. Each will have their own ______.
experience
What are the most common pain meds for moderate to severe pain post op ?
morphine
hydromorphone
fentanyl
Post-op meds should be given ____
IV
____ route is painful and has unpredictable absorption with pain meds
IM
______ has the fastest onset among pain meds
Fentanyl
______change from IV to po medications after patient is taking po without nausea.
Gradual
______ needs to be able to physically push the button and mentally able to understand when, why and how to push the button with a PCA
Patient
With PCA as well as with any narcotics given after surgery, monitor for _______.
respiratory depression
Splinting incision
Relaxation
Distraction
non medication pain relief measures
______ are often used after surgery in combination with opoids
NSAIDS
Teach patient to ______ incision when coughing. Remember patient must cough, turn and deep breathe! If they hurt too much they will avoid.
splint
Patients generally given___ pain medication at first after surgery. IM injections aren’t given as often. ____ medication works quickly and is more dependable (in timing) than IM injections which can be different depending on patient’s muscular build etc.
IV
Pain medication should be given ______ pain is severe. It should be given a bit ______ getting patient up to walk/changing dressing etc that will cause pain.
before
