Monitoring for IV opioid medications, including PCA's and IV push

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Wed, 08/29/2018 - 16:50

Alissa Carter

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Last seen: 2 years 5 months ago

Joined: 05/27/2017 - 17:18

Monitoring for IV opioid medications, including PCA's and IV push

We are currently reviewing our pain assessment and management policy.

Would anyone be willing to share their current policy and/or IV administration guidelines for opioids? I am interested in monitoring for continuous opioid infusions, PCAs, and IV push opioids.

I am interested in when you recommend patients be placed on continuous pulse ox, frequency of vital sign monitoring, and any additional monitoring guidelines you may have in place following IV opioid administration.

Also, does your facility restrict where IV push fentanyl can be administered given the black box warning for respiratory depression?

Thank you for sharing your insight and expertise.

Alissa Carter, PharmD, BCPS
Opioid Stewardship Co-Chair
Critical Care pharmacy specialist
Methodist Richardson Medical Center

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