A nurse is preparing a pediatric patient for surgery and is teaching the patient and the child's parents about the use of the patient-controlled analgesia pump. The parents voice concern about their child receiving an overdose of morphine
What will the nurse do? a. Instruct the parents not to activate the de-vice when their child is sleeping.
b. Reassure the parents that drug overdose is not possible with PCA.
c. Suggest that the child use the PCA spa-ringly.
d. Tell the patient that the pump can be pro-grammed for PRN dosing only.
A
The nurse should instruct parents not to activate the PCA when their child is sleeping because that can lead to drug overdose. Postoperative pain should be treated appropriately with medica-tions that are effective. Nonopioid medications are not sufficient to treat postoperative pain. Pa-tients should be encouraged to use the PCA as needed so that pain can be controlled in a timely fashion. PRN dosing is not as effective as dosing that is continuous, so a basal dose should be given as well as a PRN dose.
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