2.50
Hdl Handle:
http://hdl.handle.net/10755/164368
Category:
Abstract
Type:
Presentation
Title:
Ketorolac (Toradol) : An Effective Adjunct To Morphine For Short-Term Postoperative Pain
Author(s):
Clement, Mary Ann
Author Details:
Mary Ann Clement, Pinnacle Health, Harrisburg, Pennsylvania, USA, email: nacnsorg@nacns.org
Abstract:
Problem: Pain management (the 5th vital sign) is an ongoing concern in medicine today. Nurses and physicians play an important role and responsibility in pain assessment, pain intervention, monitoring the effects of treatment, and communicating information about the patient's pain. The CNS and staff nurses noticed a varied use of adjunct postoperative pain medication. The CNS discussed this observation with the Pharmacy and Therapeutic Committee and the plan to conduct a MUE (medication use evaluation) with in health system as formulated. Purpose: To provide education to the nursing and physician staff on the advantages and disadvantages of ketorolac IV with morphine IV to control postoperative pain. Significance: The CNS identified PSCU (Post-Surgical Care Unit) patients who received concomitant ketorolac and morphine and found that they were out of bed sooner, had better pain control, had less opioid side effects and were discharged sooner. The literature review supports these outcomes. Description Of Practice Change: The CNS worked with the Pharmacy and Therapeutic Committee to begin a MUE due to the varied use of ketorolac. The pharmacy began a retrospective data collection of its usage. The results will be reviewed and further recommendations presented. Evaluation: Ketorolac use guidelines will be developed and made available to the CNS and physicians. This information will be displayed on a poster board. The CNS and staff nurses will perform unit monitoring on ketorolac usage with morphine. The pharmacy will then plan to repeat the MUE. Conclusions: Ketorolac IV can be an effective adjunct to morphine IV in the appropriate patient to manage short-term postoperative pain. The benefits of the pain free patient become apparent. This was a multidisciplinary approach to improve quality care and patient outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleKetorolac (Toradol) : An Effective Adjunct To Morphine For Short-Term Postoperative Painen_GB
dc.contributor.authorClement, Mary Annen_US
dc.author.detailsMary Ann Clement, Pinnacle Health, Harrisburg, Pennsylvania, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164368-
dc.description.abstractProblem: Pain management (the 5th vital sign) is an ongoing concern in medicine today. Nurses and physicians play an important role and responsibility in pain assessment, pain intervention, monitoring the effects of treatment, and communicating information about the patient's pain. The CNS and staff nurses noticed a varied use of adjunct postoperative pain medication. The CNS discussed this observation with the Pharmacy and Therapeutic Committee and the plan to conduct a MUE (medication use evaluation) with in health system as formulated. Purpose: To provide education to the nursing and physician staff on the advantages and disadvantages of ketorolac IV with morphine IV to control postoperative pain. Significance: The CNS identified PSCU (Post-Surgical Care Unit) patients who received concomitant ketorolac and morphine and found that they were out of bed sooner, had better pain control, had less opioid side effects and were discharged sooner. The literature review supports these outcomes. Description Of Practice Change: The CNS worked with the Pharmacy and Therapeutic Committee to begin a MUE due to the varied use of ketorolac. The pharmacy began a retrospective data collection of its usage. The results will be reviewed and further recommendations presented. Evaluation: Ketorolac use guidelines will be developed and made available to the CNS and physicians. This information will be displayed on a poster board. The CNS and staff nurses will perform unit monitoring on ketorolac usage with morphine. The pharmacy will then plan to repeat the MUE. Conclusions: Ketorolac IV can be an effective adjunct to morphine IV in the appropriate patient to manage short-term postoperative pain. The benefits of the pain free patient become apparent. This was a multidisciplinary approach to improve quality care and patient outcomes.en_GB
dc.date.available2011-10-27T11:47:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:47:06Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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