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What are some of the NON-Pharmacological options recommended by ASPMN
(American Society for Pain Management Nursing) ?
Imagery / Breathing techniques
Music / Massage
Thermal Measures
Positioning
Fentanyl:
Metabolized by?
Hepatic system CYP3A4.
Has no active metabolite = no renal complications. but
in pts with severe hepatic disease we see a decrease in fentanyl clearance.
Studies have only given ICU pts short-term fentanyl infusions +\-boluses.
,What pain treatment do we use for pts undergoing .....
1. abdominal aortic aneurysm?
2. Traumatic Rib Fractures?
1. Post-op Thoracic epidural anesth/anal-gesia.
2. Thoracic epidural anesthesia
For Fentanyl what is the....
Continuous Infusion starting dose
Drug Specific Adverse Effect
Drug Accumulation Factors
,For Morphine what is the....
Continuous Infusion starting dose
Drug Specific Adverse Effect
Drug Accumulation Factors
For Hydromorphone what is the....
Continuous Infusion starting dose
Drug Specific Adverse Effect
Drug Accumulation Factors
, For Methadone what is the....
Continuous Infusion starting dose
Drug Specific Adverse Effect
Drug Accumulation Factors
For Remifentanil what is the....
Continuous Infusion starting dose
Drug Specific Adverse Effect
Drug Accumulation Factors