What opioids are given after surgery a nurse perspective. The Opioid Crisis & Fentanyl.
ฝัง
- เผยแพร่เมื่อ 1 ต.ค. 2024
- This video is the first half of a two-part video discussing common opioids given after surgery a nurse perspective.
The first portion of the video is focused on addressing the Opioid Crisis in the United States, citing current data addressing opioid addiction after surgery and the number of continued escalating opioid related deaths annually. I share insight on my personal exposure to the crisis and beginning steps to acknowledging the change that needs to occur in how we manage postoperative surgical pain. I review data on opioid sparing success for pain management and how the ERAS protocols can help decrease opioid consumption after surgery.
We review the opioid protein receptors in the nervous system. The Mu, MOR, Kappa, KOR and Delta, DOR protein opioid receptors.
The latter half of the video I discuss Fentanyl, it’s lethality, addictive properties and multiple synthetic derivatives in clinical and street use.
Make sure you watch the second video on opioids after surgery where I will discuss, dilaudid, demerol, morphine, hydrocodone, oxycodone and narcan.
PACU Nursing Minutes is your premier perianesthesia nursing education resource channel. Here you will find applicable information focused on registered nursing care in the post anesthesia care unit, PACU, directed towards recovery post-surgery. PACU Nursing Minutes will review evidence-based practice, that can be applied today!
The short videos are intended to guide you towards further research and education as you become an expert in perianesthesia nursing practice. Are you thinking of getting your CPAN®, Certified Post Anesthesia Nurse, well, tune in here as we discuss many of the core topics covered on the CPAN® certification test? On the PACU Nursing Minutes channel I’ll share with you specific and essential education on providing pre- and post-operative, perianesthesia nursing care.
Are you a nurse working in the ER, ICU, or step-down and considering a new chapter in your nursing career? Well, PACU Nursing Minutes is your channel to brush up on basic concepts of perianesthesia nursing, surgery, anesthesia, and common nursing intervention in the post-operative, PACU department and more!
Thank You for your viewership!
Please Subscribe, Like, Share and leave a comment!
Cathy Zuniga, BSN, RN, CPAN
PACUNursingMinutes@gmail.com
Educating, Equipping and Empowering Nurses!
Creator and founder of PACU Nursing Minutes
Member of ASPAN, PNANA
Nurse of 21 years, I’m passionate about sharing knowledge & supporting the next generation of nurses!
How about doing some education on the the number of deaths among the Chronic Pain Community resulting from the “opioid epidemic”? Post-op under-medication is a HUGE problem for chronic pain patients due to PACU nurses and Pain Management teams in the hospital setting during the acute post-op period. And both the under-medication or total withdrawal of opiates of those who genuinely need these lifesaving medications is killing a whole host of individuals being swept under the rug and mistreated by the medical community
I noticed she answered everyone who commented except this one very real very serious issue
Hi TheWillToWalk, I apologize for not responding to your comment. I didn't want to skim over your response, but then life got busy with work and family. I agree in the past chronic pain patients got mislabeled by the medical community. But, I wanted to share with you that the education or nursing knowledge we share on PNM teaches nurses the different types of multimodal pain management strategies that can be offered, from NSAIDs, and Non-Narcotic Analgesics. Then I teach the about narcotics, the severity or intensity of different medications about the central and peripheral nervous system and how our bodies metabolize narcotics. The Pre-Admission Screening/Testing (PAS/T) Nurses are identifying chronic pain patients not to avoid them, but to actually develop a pain plan with anesthesia for them. So, that we adequately get their pain under control in the PACU. I have on occasions been the pre-op nurse and have immediatly identified a patient who is on High dose Oxycodone and we were able to create a pain plan with the patient and anesthesia to discuss narcotic options and other advanced pain modalities like a regional anesthesia or as many say a "Pain Block" to fully manage rebound post-op pain after surgery. So I hope that the next time you are seen you are cared for in this manner. Sincerely, Nurse Cathy
@@pacunursingminutes thank you for your thorough response. Unfortunately, uncontrolled pain continues to be a significant part of my life and that of many who are hanging on by a thread due to severe chronic pain. I was recovering from back surgery and a post-op infection when you responded, so I haven’t had the time to look through comments until now. Of my 12 surgeries over the last 6 years caused by the first being a botched repair of my broken heel in 2018, I’ve only had one hospital system take things seriously in terms of putting together a post-op pain management plan. I ended up losing my left leg below the knee in March of 2022 due to a condition I developed following that original surgery. The week I spent in the hospital following that surgery was unfortunately filled with me vomiting and crying in agony because they hadn’t placed the nerve blocks correctly but were medicating me as if they were working. It took 3 trips to the procedure room to finally get things right, but they still continued to ignore the significant remaining pain. I wish that the PACU nurses and hospital staff had been educated and coordinated by you.
As someone who can't have nsaids and for whom Tylenol does nothing for her, this all makes me put off surgery because I am thinking that I won't be given enough opioids to help my pain.
HI Queen, I would recommend you have a conversation with your surgeon and anesthesiologist or CRNA to come up with a "pain plan" so that you have a clear plan moving forward. There is so much we can do with Multimodal analgesia these days and Regional Anesthesia- i.e. anesthesia blocks.
@@pacunursingminutes Thank you for taking the time to reply with this info. It gives me hope and i will definitely do this.
I agree.
I’ve been a PACU nurse for almost 2 years, and the information you give me on your page is great. There have been things I’ve learned that I didn’t know. Your page is great. Thank you ❤
I'm so glad! Thanks for watching! If you want to Aim for Certification check out our Courses! courses.pacunursingminutes.com/collections
Great info! I hate when they prescribe those drugs to me. I never take them, I only ever use over the counter!
Stop talking about junkies. And worry about treating pain. Guns kill more than prescriptions. But they can still be bought without a prescription. Stop justifying a way to control people, and their treatments.
Awareness is the first step we all are at risk. Addiction has no boundaries, this is not a video to focus on junkies, it discussing the addictive truth of Opioids. All who become addicted are the victim of the drug's designed effects.
Why are you trying to take opioids away from good ppl who need them. Have you noticed that the only country that the fentanyl epidemic is ravaging is United States. It’s because other countries haven’t tried to eliminate all options of pain relief for pain patients or users or whoever it may be. SMH the smallest dose possible lol this fuckin cracked me up
Great info!
Thanks for watching!
Very good information and educational. I’m all very enthusiastic to learn, and our Instructor is very beautiful lady, smart and talks or instructs well.
May I suggest to show more or longer on the slides. Please show more of the slides longer because as I try to understand, I also like looking at the slides and words in the slides for better memory retention.
Thank you so much for sharing your knowledge and in a way that is easy to understand.
Thank You for this content! I am a nursing student in PACU/Same Day Surgery... Graduate in 1month.
I wish you the best in your nursing career PACU‘s been very rewarding! Stay tuned for part two of opioids I should have that uploaded soon, unfortunately I’ve got two sick kiddos at home!
I want oxycodone
Nigga San, There are resources to help with oxycodone addiction email me and I will do my best to help you find services in your town. Your in my Prayers! Nurse Cathy
Thank you so much for your videos!! ❤ please keep doing this 😊
@@yadirasorcini4462 Thank you Yadira! Lots planned don’t worry.....just keep tuning in!
Thank you! I am new to the PACU and have felt like our approach to pain management is centered too much around opioids. I look forward to more videos.
Thanks Colby! I agree, with MMA, we can really provide improved pain coverage than with opioids alone.
Thank you for this information. I’m preparing for shoulder surgery so I’ve been doing research on pain management.
Coco Jay, Praying you have a successful surgery and smooth and speedy recovery, little tip, be diligent with rehab! Best of Luck to you!
Great topic, and the statistics around opioid deaths are very sobering. Excellent presentation! Thank you!
Yes Tracy the crisis needs more attention and just as you I was disturbed when I read the 2020 stats! 🤭😞