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Download Acute Pain Management: A Practical Guide by Pamela E. Macintyre PDF

By Pamela E. Macintyre

Highly counseled, BMA scientific booklet Awards 2015

Comprehensive acute discomfort administration now not skill purely taking good care of sufferers with soreness due to postoperative and trauma-related causes―it now contains coping with sufferers with acute discomfort coming up from a wide selection of stipulations.

Acute ache administration: a realistic Guide

offers healthiness execs with uncomplicated and functional info to assist them deal with sufferers with acute ache adequately and successfully. The booklet additionally is helping them to spot and deal with acute ache in additional complicated sufferers, for whom potent remedy may be challenging.

In this new version, chapters were revised and up to date, frequently generally, to mirror present wisdom and perform. This source will unquestionably be beneficial to a number of execs in assessing and dealing with acute discomfort.

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Additional resources for Acute Pain Management: A Practical Guide

Sample text

Clinical trials in acute pain management have shown that opioids administered in equianalgesic doses to large population groups have a similar incidence and degree of side effects. However, there may be individual differences in patient responses and some patients may experience more side effects with one particular drug. In these instances, opioid rotation, that is, a change to another opioid, is appropriate. 1 Depression of ventilation Opioids cause a dose-dependent depression of ventilation that is usually referred to as respiratory depression.

The term SaO2 refers to the oxygen saturation of arterial blood. Similarly, PaO2 is the partial pressure (level) of oxygen in arterial blood, whereas ETCO2 or PetCO2 refers to end-tidal carbon dioxide levels—that is, at the end of expiration. Transcutaneous measurement of carbon dioxide is also possible (PtcCO2). , 2002). 1 Oxygen saturation Care must be taken in the interpretation of SpO2 readings as OIVI is only one of the many possible causes of hypoxemia, particularly in the postoperative setting.

Of course, under-treated pain can also lead to, or increase, patient anxiety, fear, sleeplessness, and fatigue. Aggressive and belligerent behavior may be a sign of that anxiety and distress. 3 Assessment of adverse effects To individualize treatment and maximize patient safety, there needs to be an ongoing assessment of any adverse effects that might be related to pain management therapies. The adverse effects and complications that can result from the treatment of acute pain will vary according to the drug and technique used, and are discussed in more detail in the chapters that follow.

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