Originally Posted by nursenatalie The only problem I have with Phenergan's sedation quality is that when a patient has a PCA they will be sedated and only awakened when the pain gets intense...making it harder to "get on top" of the pain again...works great, but tears the veins up
I definitely understand where you are coming from on that. PCA is designed to administer analgesia in small increments after adequate pain control has been established. Sort of to keep the concentration at a good constant level. Do you usually have orders to administer a bolus if a person has been asleep and wakes up to pain, in order to get them back to therapeutic levels?
We never use a PCA in the ER, so I suppose phenergan works better in that setting.
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