| Titre : | Safety of an ED High-Dose Opioid Protocol for Sickle Cell Disease Pain (2015) |
| Auteurs : | Paula Tanabe, Auteur ; Zoran Martinovich, Auteur ; Barbara Buckley, Auteur ; et al., Auteur |
| Type de document : | Article |
| Dans : | Journal of Emergency Nursing (Vol. 41, n°3, May 2015) |
| Article en page(s) : | p. 227-235 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Douleur ; Drépanocytose ; Morphine ; Opium ; Recherche ; Sécurité ; Soins d'urgence |
| Résumé : |
Introduction
A nurse-initiated high dose, opioid protocol for vaso-occlusive crisis (VOC) was implemented. Total intravenous morphine sulfate equivalents (IVMSE) in mgs] and safety was evaluated. Methods A medical record review was conducted for all ED visits in adult patients with VOC post protocol implementation. Opioids doses and routes administered during the ED stay, and six hours into the hospital admission were abstracted and total IVMSE administered calculated. Oxygen saturation (SPO2), respiratory rate (RR), administration of naloxone or vasoactive medications, evidence of respiratory arrest, or any other types of resuscitation effort were abstracted. A RR of Results 72 patients, 603 visits, 276 admitted. The total (ED & hospital dose) mean (95% CI) mg IVMSE administered for all visits was 93 mg (CI 86, 100), ED visit 63 mg (CI 59, 67) and hospital 66 mg (CI 59, 72). The mean (SD) time from administration of 1st analgesic dose to discharge from the ED was 203 (143) minutes, (range = 30-1396 minutes). During two visits, patients experienced a RR Discussion High opioid doses were safely administered to patients with sickle cell disease. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
