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Advanced Search January-February 2009 - Volume 7 - Issue 1
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You can read the full text of this article if you: Log In Access through Ovid Department: pain pointers Nursing Made Incredibly Easy!: January 2009 - Volume 7 - Issue 1 - p 21-23 doi: 10.1097/01.NME.0000344858.49579.ca Related Articles
American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and respiratory depressionDonna Jarzyna et al. Pain Manag Nurs. 2011 Sep. AbstractAs the complexity of analgesic therapies increases, priorities of care must be established to balance aggressive pain management with measures to prevent or minimize adverse events and to ensure high quality and safe care. Opioid analgesia remains the primary pharmacologic intervention for managing pain in hospitalized patients. Unintended advancing sedation and respiratory depression are two of the most serious opioid-related adverse events. Multiple factors, including opioid dosage, route of administration, duration of therapy, patient-specific factors, and desired goals of therapy, can influence the occurrence of these adverse events. Furthermore, there is an urgent need to educate all members of the health care team about the dangers and potential attributes of administration of sedating medications concomitant with opioid analgesia and the importance of initiating rational multimodal analgesic plans to help avoid adverse events. Nurses play an important role in: 1) identifying patients at risk for unintended advancing sedation and respiratory depression from opioid therapy; 2) implementing plans of care to assess and monitor patients; and 3) intervening to prevent the worsening of adverse events. Despite the frequency of opioid-induced sedation, there are no universally accepted guidelines to direct effective and safe assessment and monitoring practices for patients receiving opioid analgesia. Moreover, there is a paucity of information and no consensus about the benefits of technology-supported monitoring, such as pulse oximetry (measuring oxygen saturation) and capnography (measuring end-tidal carbon dioxide), in hospitalized patients receiving opioids for pain therapy. To date, there have not been any randomized clinical trials to establish the value of technologic monitoring in preventing adverse respiratory events. Additionally, the use of technology-supported monitoring is costly, with far-reaching implications for hospital and nursing practices. As a result, there are considerable variations in screening for risk and monitoring practices. All of these factors prompted the American Society for Pain Management Nursing to approve the formation of an expert consensus panel to examine the scientific basis and state of practice for assessment and monitoring practices for adult hospitalized patients receiving opioid analgesics for pain control and to propose recommendations for patient care, education, and systems-level changes that promote quality care and patient safety. Copyright © 2011 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. Similar articles
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Which nursing assessment is essential before administering an opioid?Physical and psychiatric comorbidities Assessment prior to opioid administration should include the presence, severity, and treatment of comorbidities.
Which assessment is essential for the nurse to monitor in a patient who is receiving an opioid analgesic?Intermittent pulse oximetry is the minimum stan- dard of care for assessing the respiratory status of a patient receiving opioids for acute pain.
What should you monitor a patient for when giving opioids?ESSENTIAL ELEMENTS OF A CONTROLLED SUBSTANCE AGREEMENT. Patient name, birthdate, medical record number, and primary care provider.. Common side effects and risks associated with opioid pain medications – including, but not limited to, severe constipation, trouble breathing, and addiction.. Expectations of patient behavior:. What are the nurses responsibilities when administering an opioid analgesic?Nurses play an important role in: 1) identifying patients at risk for unintended advancing sedation and respiratory depression from opioid therapy; 2) implementing plans of care to assess and monitor patients; and 3) intervening to prevent the worsening of adverse events.
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Which assessment is most important for the nurse to monitor in a patient receiving an opioid analgesic?
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