Assessment of nurses' judgement for analgesic requirements of postoperative children

Title

Assessment of nurses' judgement for analgesic requirements of postoperative children

Creator

Romsing J

Publisher

Journal Of Clinical Pharmacy And Therapeutics

Date

1996

Subject

Child; Female; Humans; Male; Pain; Analgesics; Nursing Assessment; Preschool; Non-Narcotic/administration & dosage/therapeutic use; Acetaminophen/administration & dosage/therapeutic use; Postoperative/drug therapy/psychology; Suppositories; Tonsillectomy

Description

Over the last 5-10 years, there has been significant growth in the knowledge and strategies of pain management in children. Investigations are required to discern whether concomitant improvements in clinical practice have occurred. The purpose of this study was to identify the nurses' administration of a traditional analgesic (acetaminophen) with regard to appropriate doses and time intervals. This issue was examined, within 24 h after surgery, in 72 children (aged 3-12 years) scheduled for a tonsillectomy. Acetaminophen suppositories were administered in subtherapeutic doses and at too large time intervals. An average single dose administered represented 87% of the calculated dose. Comparison between the correct dose, which should have been given considering the dose levels of the suppositories available, and the actual dose administered indicates that the nurses tended to round doses down to the next lowest. The average dosage administered per day represented only 76% of the recommended dosage. The prevalence of pain amongst the children was high both before and after analgesics, indicating that acetaminophen in the doses used did not provide any significant measure of pain relief. Current practice is still not optimal. Educating nurses on the effective use of traditional pain therapies may improve paediatric pain management.
1996

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Citation

Romsing J, “Assessment of nurses' judgement for analgesic requirements of postoperative children,” Pediatric Palliative Care Library, accessed June 12, 2024, https://pedpalascnetlibrary.omeka.net/items/show/11946.