OPIOID INDUCED RESPIRATORY DEPRESSION (OIRD)

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Across
  1. 2. Documentation of respiratory rate and quality, sedation level and oxygen saturation is completed at least____ hourly for first 24 hours.
  2. 4. Patients who are taking opioid medications prior to hospitalisation re considered to be this.
  3. 10. comparison of pateitn scurrent repiratory rate with this can lead to early detection of deterioration
  4. 12. Vigilance in monitoring for adverse events is important during first 24 hours post this.
  5. 13. these can increase risk of ineffective respirations.
  6. 14. Rate should be measured before arousing a sleeping patient.
  7. 16. this sign of respiratory obstruction should be promptly re-evaluated and patient repositioned.
  8. 19. standard anaesthetic physical assessment classification.
  9. 20. consequences of unintended advancing sedation can have these type consequences for hospitalised patients.
  10. 21. Opiates bind as agonists at these sites.
  11. 22. These agents increase risk of OIRD when given in combination of opiates.
  12. 24. Observe rise and fall of chest along with rate, regularity and _________when assessing respiratory function.
Down
  1. 1. Nurses my suffer from this due to numerous bedside alarm system.
  2. 3. spo2 monitoring spot checks can be this.
  3. 5. This is decreased when carbon dioxide levels are increased.
  4. 6. Measurement is recommended for all patients on PCA or IV morphine.
  5. 7. Increasing levels of this are evident before decreasing respiratory rate.
  6. 8. Nurses need to be aware of these times when administering opiates.
  7. 9. These kind of thinking skills are required for analysing trends.
  8. 11. This factor along with individual and pharmacological are known to be associated with near miss opioid related events.
  9. 15. Advancing sedation measured on a sedation scale indicates need for the nurse to ___________ opiate administration.
  10. 17. screening for this is recommended in those patients with high body mass index.
  11. 18. analgesics administration should be balanced with this practice.
  12. 23. Automatic respiratory function is inhibited by decreased response of chemoreceptors to increased carbon dioxide levels.