The Use of Sedatives and Analgesics: Assessment and Safety Plan

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Clinical practice guidelines provide a practical approach in health care. Critically ill adult may experience, pain, confusion anxiety and stress, which require sedatives to reduce the level of discomfort. Neuromuscular program may be used for extreme cases of pain. Thus, care providers must understand clinical practice guidelines for efficient health care delivery. Health care providers must discontinue sustained use of sedatives and analgesics to avoid complications (Nasraway, Jacobi, Murray, & Lumb, 2002). Using clinical practice guidelines and pathways, care providers must distinguish between familiar situations and the last resort. The use of sedatives must be observed to avoid complications. Considering the review of clinical practice guidelines in 2002, we can develop a plan of care for a mechanically ventilated patient.

Managing mechanically ventilated patients requires a multidisciplinary plan. It is necessary to accommodate clinical procedure that reduces pain and complications. Mechanically ventilated procedures require clinical and technical skill to achieve invasive assessment of the patient. The plan will address the patient’s safety, comfort, position, mouth care, eye care, hygiene, and sleep disorders. Care for a mechanically ventilated patient requiring sedation will include primary and secondary assessment. The patient’s body examination will be documented using clinical practice guidelines.

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Fig 1: Primary assessment

Examine Notes Remarks
Airway Check air flow,
Examine chest movements
Confirm the safety and length of air tubes
Breathing Observe the breathing pattern
Examine the heart rate
Examine patient pallid
Circulation Provide adequate ventilation
Observe patient’s pulse
Determine the strength of pulse
Examine patient color
Disability Is the patient conscious?
Determine the level of stimulation
Exposure Is the patient exposed?
Accessing the patient’s environment.
Can patient’s safety be guaranteed?

Fig 2: Secondary assessment

Systems Assessment notes Remarks
Neurological Observe with coma scale
Use sedation scale
Examine the level of blockade
Determine the BIS score
Access communication ability
Cardiovascular Examine blood pressure
Determine pulse rhythm
Observe ECG
Monitor CVP
Conduct plethysmography
Monitor cardiac output
Examine DVT
Respiratory Check airway tube
Monitor cuff pressure
Observe secretion blockade
Check humidity
Examine tube position
Observe breathing pattern
Conduct blood analysis
Conduct chest X ray
Gastrointestinal Observe bowel sound
Check girth
Conduct liver test
Check body weight and strength
Determine the level of serum phosphate
Check abdominal pain
Metabolic Observe body temperature
Estimate glucose level
Skin integrity Conduct ulcer test
Determine ulcer pressure
Check body weight and sugar level
Renal Observe urine
Conduct urine test
Observe renal test
Determine creatinine level

Fig 3

Emergency care equipment

A critically ill patient will require essential bedside equipment to avoid complications.

  1. Resuscitation face mask.
  2. Suction unit and Yakeur sucker.
  3. Intubation and oxygen equipment.
  4. Manual suction unit.

Clinical practice guidelines require the following safety checks

  1. Provide essential equipment and test its efficiency.
  2. Check ventilation tubes for blockades.
  3. Provide uninterrupted power.
  4. Administer infusions carefully.
  5. Test the alarm speed of all equipment.
  6. Reexamine all equipment and alarm limit.

The role of clinical pathways in health care delivery

A clinical pathway is described as a concept and a tool for accessing and guiding clinicians to discharge adequate care. Clinical pathways involve a multidisciplinary plan used by health care professionals. The role of clinical pathways as a multidisciplinary plan for documentation can influence the patient’s recovery timeline. Other benefits include patient care, clinical processes and management. Thus, clinical pathway documentation will reduce mistakes, correct errors, reduce length of stay, facilitate communication with patients, and improve safety.

Reference

Nasraway, S., Jacobi, J., Murray, M., & Lumb, P. (2002). Sedation, analgesia, and neuromuscular blockade of the critically ill adult: Revised clinical practice guidelines for 2002. Crit. Care Med, 30(1), 1-19.

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NursingBird. (2022, May 26). The Use of Sedatives and Analgesics: Assessment and Safety Plan. Retrieved from https://nursingbird.com/the-use-of-sedatives-and-analgesics-assessment-and-safety-plan/

Reference

NursingBird. (2022, May 26). The Use of Sedatives and Analgesics: Assessment and Safety Plan. https://nursingbird.com/the-use-of-sedatives-and-analgesics-assessment-and-safety-plan/

Work Cited

"The Use of Sedatives and Analgesics: Assessment and Safety Plan." NursingBird, 26 May 2022, nursingbird.com/the-use-of-sedatives-and-analgesics-assessment-and-safety-plan/.

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NursingBird. (2022) 'The Use of Sedatives and Analgesics: Assessment and Safety Plan'. 26 May.

References

NursingBird. 2022. "The Use of Sedatives and Analgesics: Assessment and Safety Plan." May 26, 2022. https://nursingbird.com/the-use-of-sedatives-and-analgesics-assessment-and-safety-plan/.

1. NursingBird. "The Use of Sedatives and Analgesics: Assessment and Safety Plan." May 26, 2022. https://nursingbird.com/the-use-of-sedatives-and-analgesics-assessment-and-safety-plan/.


Bibliography


NursingBird. "The Use of Sedatives and Analgesics: Assessment and Safety Plan." May 26, 2022. https://nursingbird.com/the-use-of-sedatives-and-analgesics-assessment-and-safety-plan/.