DEVICE SAFETY: PCA by proxy: Too much of a good thing
JULIA MARDERS RN, MS

$3.95
Nursing2015
April 2004 
Volume 34  Number 4
Pages 24 - 24
 
  PDF Version Available!

ABSTRACT
Outline

  • What went wrong?

  • What precautions can you take?

    A PATIENT WAS receiving patient-controlled analgesia (PCA) via infusion pump. The nurse awakened the patient to assess pain and, based on the patient's direction, pushed the PCA button to administer pain medication. The patient eventually became unresponsive and died.

    What went wrong?

    Someone other than the patient pushing the button on a PCA pump, even at the patient's request, is administering PCA by proxy. This well-intentioned “help” can lead to oversedation, opioid toxicity, or death.

    Although PCA pumps include dose and time limits to prevent overmedication, the patient's participation is critical to maintain safety. A sleeping or overly sedated patient won't push the button, so the pain medication is unlikely to reach toxic levels. The nurse in this case overrode the patient's control of his medication by waking him and administering ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events