/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/pain-management/,

/clinical/cckm-tools/content/order-sets/inpatient/pain-management/name-98081-en.cckm

201712341

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UWHC,UWMF,

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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Pain Management

IP - Intravenous Patient Controlled Analgesia (PCA) - Adult - Supplemental [1441]

IP - Intravenous Patient Controlled Analgesia (PCA) - Adult - Supplemental [1441] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Pain Management


IP - Intravenous Patient Controlled Analgesia (PCA) - Adult - Supplemental
[1441]
for Adult Patients OnlyIntended
Adult PCA Fast Facts URL: https://uconnect.wisc.edu/clinical/references/pain-
management/references-
guidelines/resources/name-29965-en.file
Patient Care Orders
Contingency Parameters [19977]
For Patients on Acute Pain Service
[NURCOM0001]
Location:
Notify based on:
If pain related to a surgical complication notify Acute
Pain Service.
Medications
PCA by Proxy [195994]
Initiate PCA by Proxy Assessment
[NURCOM0110]
ONCE
Patient Controlled Analgesia (PCA) Infusion (Single Response) [20020]
Morphine [235171]
MORPHine in sod chloride 0.9% 60 mg/60 mL
PCA syringe [755279]
Intravenous
Basal Rate Instructions:
RN Bolus Dose (mg):
RN Bolus: May Repeat every:
Measure Respiratory Rate, Depth And Regularity
[NURMON0092]
EVERY 2 HOURS, Starting today, Routine, Measure
for 1 full minute.
Assess Pain Rating [NURMON0060] SEE COMMENTS, Starting today, EVERY 4
HOURS. Measure using appropriate scale.
Assess Sedation Level [NURMON0060] SEE COMMENTS, Starting today, EVERY 2
HOURS. (Note: Awaken only if unable to distinguish
between normal sleep and sedation, or if change in
respiratory pattern (regularity) or depth of
respiration.)
Hydromorphone [235173]
HYDROmorphone in sod chloride 0.9% 12 mg/60
mL PCA syringe [755281]
Intravenous
Basal Rate Instructions:
RN Bolus Dose (mg):
RN Bolus: May Repeat every:
Measure Respiratory Rate, Depth And Regularity
[NURMON0092]
EVERY 2 HOURS, Starting today, Routine, Measure
for 1 full minute.
Assess Pain Rating [NURMON0060] SEE COMMENTS, Starting today, EVERY 4
HOURS. Measure using appropriate scale.
Assess Sedation Level [NURMON0060] SEE COMMENTS, Starting today, EVERY 2
HOURS. (Note: Awaken only if unable to distinguish
between normal sleep and sedation, or if change in
respiratory pattern (regularity) or depth of
respiration.)
Fentanyl [235175]
FENTanyl 1250 mcg in 25 mL PCA syringe
[755285]
Intravenous
Basal Rate Instructions:
RN Bolus Dose (mcg):
RN Bolus: May Repeat every:
Measure Respiratory Rate, Depth And Regularity
[NURMON0092]
EVERY 2 HOURS, Starting today, Routine, Measure
for 1 full minute.
Assess Pain Rating [NURMON0060] SEE COMMENTS, Starting today, EVERY 4
HOURS. Measure using appropriate scale.
Page 1 of 2
Printed by BENNETT, SARA J [SJB008] at 12/7/2017 11:12:08 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org

Assess Sedation Level [NURMON0060] SEE COMMENTS, Starting today, EVERY 2
HOURS. (Note: Awaken only if unable to distinguish
between normal sleep and sedation, or if change in
respiratory pattern (regularity) or depth of
respiration.)
Non-Categorized [181505]
naloxone (NARCAN) injection [800199] 0.1 mg, Intravenous, PRN, opioid overdose
Administer every 3 minutes times 4 doses as needed
for respiratory rate less than 8 breaths/minute. Notify
physician if administered.
Medications - Bowel Management - NOTE: If colorectal surgery patient discuss
with primary team to hold laxatives.
Bowel Management [241332]
Adult - Bowel Management - Scheduled
[241908]
senna-docusate (SENOKOT S) 8.6-50 MG per
tab [60530]
2 tab, Oral, 2 X DAILY
Adult - Bowel Management - As Needed
[240448]
polyethylene glycol (MIRALAX) oral packet
[61829]
17 g, Oral, 1 X DAILY PRN, constipation
First Line Therapy
magnesium hydroxide (MILK OF MAGNESIA)
susp [65443]
30 mL, Oral, 1 X DAILY PRN, constipation
Second line therapy, if no response to first line
therapy within 12 hours
bisacodyl (DULCOLAX) rectal suppository
[35231]
10 mg, Rectal, 1 X DAILY PRN, constipation
If unable to take medications by mouth or enteral
tube OR if need immediate laxation OR if failure of
second line agent after 6 hours
Medications - Anti-emetics
Anti-emetics [20018]
Adult - Standard - Anti-emetics [240445]
ondansetron (ZOFRAN ODT) disintegrating tab
[64224]
4 mg, Oral, EVERY 6 HOURS PRN,
nausea/vomiting
Use first line
ondansetron (ZOFRAN) injection [800202] 4 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
Use first line if unable to take medications by mouth
or enteral tube OR if immediate effect is needed.
prochlorperazine (COMPAZINE) tab [41372] 10 mg, Oral, EVERY 6 HOURS PRN,
nausea/vomiting
Use second line if there is inadequate response to
first line anti-emetic within 30 minutes. If there is no
response to second line therapy within 30 minutes,
notify provider
prochlorperazine (COMPAZINE) injection [41369] 10 mg, Intravenous, EVERY 6 HOURS PRN,
nausea/vomiting
Use second line. Use if there is inadequate
response to first line anti-emetic within 30 minutes
and if unable to take medications by mouth or
enteral tube OR if immediate effect is needed. If
there is no response to second line therapy within 30
minutes, notify provider
Page 2 of 2
Printed by BENNETT, SARA J [SJB008] at 12/7/2017 11:12:08 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2017CCKM@uwhealth.org