Pharm 17- Pt. controlled analgesia

  1. A single large dose is given initially to bring levels to therapuetic window
    Loading dose
  2. Amount of drug that is self administered each time
    demand dose
  3. minimum amount of time b/w each dose. Dose can not be administered unless this has expired.
    Lockout interval
  4. A small amount is infused continuously to maintain a low level of analgesia.
    Background infusion Rate
  5. What are the primary meds used during PCA? (3)
    Opioids- fentanyl, meperidine and morphine
  6. combining nonopiods w/ opioids to decrease amount of opioids needed.
    opioid sparing
  7. Name (3) nonopioids used in "opioid sparing"
    • Ketorolac - NSAID
    • Ketamine- anesthetic agent
    • droperidol- antipsychotic
  8. why administer naloxone during PCA?
    to block certain opioid side effects
  9. Name (2) local anesthetics used in PCA.
    • Bupivacaine
    • ropivacaine
  10. Simplest and most common method of PCA administration
    Patient contolled intravenous analgesia (PCIA)
  11. Tip of catheter lies in epidural space.
    Paitent controlled epidural analgesia (PCEA)
  12. Newest variation of PCA that uses a small patch
    Patient controlled transdermal analgesia (PCTA)
  13. Self-administers med directly into a specific site and helpls to localize it.
    Patient controlled regional anesthesia
  14. List (4) side effects of PCA
    • sedation
    • pruritis
    • GI distress
    • respiratory depression
Card Set
Pharm 17- Pt. controlled analgesia
pt. controlled analgesia