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NUR 425 week 1 online Pain and Sedation ppt

Terms in this set (17)

pain assessment and sedation in the ICU and pediatrics
basic comfort considerations
nocioceptic pain
transduction, transmission, perception, and modulation of a signal
neuropathic pain
caused by damage to peripheral nerves or other structures in the central nervous system
some nonverbal signs of pain
grimace, squinting, anxiety, pacing, fidgeting, elevated heart rate, elevated blood pressure, diaphoresis, rapid respiration rate, tensing, resisting movement
what tool is used to assess pain in the ICU
critical care observation tool
critical care pain observation tool indicators
-facial expression
-body movements
-muscle tension with passive com
-compliance with ventilator
1st step of treating pain in the ICU
-nonpharm is the first step and understand why they're having pain (examples: reposition, getting out of bed, hydration, massage, dim lights)
most common pharm method of pain control in the ICU
continuous IV drip
a common pain medication in the ICU
fentanyl
sedation
relates to the level of consciousness but not necessarily the level of pain a pt is experiencing
two common medications for sedation
midazolam
propofol
less common medications for sedation
percedex (dexmedetomidine)
procedure that uses sedation
endotracheal tube
nursing considerations for sedation
-how is it done
-what do we need to think about after sedation
-dont over sedate the patient
-dont under sedate the patient
-
continuous sedation is administered through
IV drip
how do we find the "sweet spot" for sedation, what tool is used
-RAAS sedation scale
-the goal number is dictated by the protocol
-often the score of 0 to -2 is ideal
specific pediatric considerations
-Wong Baker FACES pain scale
-dependent on child's age and developmental stage
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