A patient is recei-ing an opioid -ia a PCA pump as part of his postoperati-e pain management program. During rounds, the nurse finds him unresponsi-e, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next? a )Notify the charge nurse b )Draw arterial blood gases c )Administer an opiate antagonist per standing orders d) Perform a thorough assessment, including mental status examination

3-2-1 Code It
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Chapter10: Cpt Anesthesia
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A patient is recei-ing an opioid -ia a PCA pump as part of his postoperati-e pain management program. During rounds, the nurse finds him unresponsi-e, with respirations of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion, what should the nurse do next?
a )Notify the charge nurse
b )Draw arterial blood gases
c )Administer an opiate antagonist per standing orders
d) Perform a thorough assessment, including mental status examination

Expert Solution
Step 1

There are several interventions for the management of pain including,

 Pain management: Pharmacological interventions

  • Administer medications as per order and check for PRN order.
  • Administer of analgesics and follow safety protocol.
  • Assess for drug dose modification.
  • Frequent monitoring of patient response to opioid and nonopioid analgesics. 
  • Assessment of drug effect.

Nonpharmacological interventions: Implementing nonpharmacological interventions such as, cognitive-behavioral technique, complimentary therapy, relaxation techniques, and massage therapy (Heat and cold therapy) can be used along with pharmacological interventions. 

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