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Pharmacology- pain management

Terms in this set (16)

When performing data collection relative to pain, the PTA should ask when the last dose of pain medication was administered.
Patient education should occur related to appropriate activity level as medications may mask pain.
When post operative patients are recovering from anesthesia, they will present with lethargy and often nausea as the sedative effects are diminishing. Care should be taken when performing mobility activities with these patients as participation may be limited.
General anesthesia limit ciliary clearance of mucus in the airways. Following surgery, patients should be encourage to perform deep breathing exercises, incentive spirometry and coughing splinted if necessary to assist in clearing sections which may have settled in the airways.
Many pain medications can cause a patient to be markedly drowsy which may be combined with decreased cognitive function (problem solving, ability to follow commands, etc.) decreasing participation in therapy. The PTA should attempt to schedule therapy at a time when pain relief is at its peak but this lethargy side effect is minimal should be attempted.
Anti-anxiety medications and sedative which promote relaxation are often utilized in combination with analgesics to manage pain. Patients should additionally be monitored for the considerations covered in the Psychiatric Unit.
For patients with PCA pumps, the PTA should be cautious of the IV line as well as being aware of whether the unit is set to continuous infusion of the medication of delivery is dependent upon the patient pressing the handheld button. If the latter is the case, determination of the most appropriate time during the session to initiate the dosage will be related to the level of pain relief required based on activities performed.
Patients who are taking morphine may experience decreased motor coordination. Misjudging distances and staggering may occur during gait.
Patient's taking narcotics should be monitored for orthostatic hypotension and dizziness with mobility.