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Continuous opioid infusionCContinuous opioid infusionContinuous opioid infusionEnglishPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)BodyNervous systemDrug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZLorraine Bird, RN, BScN, APN;Basem Naser, MBBS, FRCPC;Lori Palozzi, RN, MScN, ACNP7.0000000000000071.0000000000000737.000000000000Health (A-Z) - ProcedureHealth A-Z<p>This page explains how a continuous opioid infusion gives a specific and constant amount of pain medication to your child through an IV.</p><h2>What is a continuous opioid infusion?</h2> <p>Opioids (say: OH-pee-oyds) are strong medicines that are given to control pain. <a href="/Article?contentid=194&language=English">Morphine</a> and hydromorphone are opioids.</p> <p>A continuous infusion gives small but steady amounts of opioid medicine to your child. The infusion is given through your child's IV line. An IV (intravenous) line is a small tube that is put into a vein in your child's arm or leg to give medicine or fluids.</p><h2>Key points</h2> <ul> <li>Continuous infusion means your child gets a constant, steady amount of medicine to control pain. </li> <li>Opioids are strong medicines that control pain, such as <a href="/Article?contentid=194&language=English">morphine</a>. Most side effects from opioid medicines are mild and can be treated. </li> <li>Your child's pain will be assessed regularly. </li> <li>How much medicine is used, and for how long, depends on your child's condition and how much pain your child has. </li> </ul><h2>Side effects from opioid medicine</h2> <p>Like many other medicines, opioids can cause side effects. Side effects are problems that may happen while taking the medicine.</p> <p>Opioids may make your child feel sleepy, dizzy, sick to the stomach or itchy. Your child may also have a hard time going to the bathroom. This is called constipation. Sometimes, children are given a different medicine to help them feel less sick to the stomach or to help them go to the bathroom. Some children may have strange dreams or see or hear things that are not there. </p> <p>Opioids may also slow your child's breathing rate. This side effect is very rare. Your child's nurse will watch your child very closely for signs of problems with breathing. Your child's heart and breathing rate will be monitored during the infusion. There are a number of ways to lessen or take away these side effects. </p> <p><strong>Ask your child's doctor or nurse about any questions or concerns you have.</strong></p><h2>Opioid infusion keeps pain medicine levels steady</h2> <p>The infusion lets a specific, constant amount of medicine go into your child's IV line. This way, the level of pain medicine in the bloodstream stays the same at all times. Your child's pain is always being treated because they are always getting a steady amount of medicine. With an infusion, your child may be better able to cope with pain.</p> <p>Managing your child's pain is important. When your child is comfortable, they will be able to help with their own care. Your child can also be up and moving around more quickly and easily. This will help your child get better sooner. </p><h2>Adjusting the infusion to better control pain</h2> <p>If your child is still in pain, the amount of medicine going through the IV will be changed. Or, your child may get an extra dose of medicine through the IV to deal with the pain more quickly. </p> <h2>Your child will have the infusion for as long as they need it</h2> <p>How much time your child has the infusion depends on the amount of pain they are having. It also depends on your child's condition. If your child has had an operation, the pain will get better each day after the operation. The nurse will keep asking your child about the amount of pain they feel. The amount of medicine in the infusion will be slowly lowered as your child feels less pain. </p> <h2>Other pain medicines after the infusion is stopped</h2> <p>When the infusion is stopped, your child may still get pain medicine. This may be through the IV or in a pill or liquid form. Generally, when your child is drinking and eating well, medicine in pill or liquid form is given. The type of medicine will depend on your child's pain. </p><h2>Assessing your child's pain</h2> <p>The nurse will regularly ask your child about their pain to find out how well the medicine is working.</p> <p>An older child may be asked to pick a number from 0 to 10 to rate how much pain they feel. Zero means no pain and 10 means the worst pain. </p> <p>If you have a young child, the nurse will ask your child to say if their pain is a little, medium or a lot.</p> <p>There are other ways to check about pain in children that cannot speak or do not understand about their pain. To assess pain, the nurse will also watch your child for signs such as crying, fussing, playing or sleeping. </p> <p>If you think your child is in pain, speak to your child's nurse.</p><h2>At SickKids</h2> <p>Please note that your child will not be allowed off the floor while receiving an infusion. A nurse must accompany your child outside their room. </p>
Perfusion continue d’opiacésPPerfusion continue d’opiacésContinuous opioid infusionFrenchPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)BodyNervous systemDrug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZLorraine Bird, RN, BScN, APN;Basem Naser, MBBS, FRCPC;Lori Palozzi, RN, MScN, ACNP7.0000000000000071.0000000000000737.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Cette page explique comment la perfusion continue d’opiacés fournit une quantité précise et constante d’analgésique à votre enfant au moyen d’un i.v.</p><h2>Qu’est-ce qu’une perfusion continue d’opiacés?</h2> <p>Les opiacés sont des médicaments forts qui sont donnés pour contrôler la douleur. La morphine et l’hydromorphone sont des opiacés.</p> <p>Une perfusion continue fournit des quantités petites, mais continue de médicament opiacé à votre enfant. La perfusion s’effectue à l’aide d’un tube intraveineux (IV). Une IV. est un petit tube inséré dans une veine du bras ou de la jambe de votre enfant pour lui donner un médicament ou des fluides.</p><h2>À retenir</h2> <ul> <li>La perfusion continue signifie que votre enfant reçoit une quantité constante et régulière de médicament pour contrôler la douleur.</li> <li>Les opiacés sont des médicaments forts qui contrôlent la douleur, comme la morphine. La plupart des effets secondaires des médicaments opiacés sont faibles et peuvent être traités.</li> <li>La douleur de votre enfant sera évaluée de façon régulière.</li> <li>La quantité de médicaments utilisée et la durée de la prise de ces médicaments dépendent de l’état de votre enfant et de sa douleur.</li> </ul><h2>Effets secondaires liés au médicament opiacé</h2> <p>Comme un grand nombre d’autres médicaments, les opiacés peuvent causer des effets secondaires. Les effets secondaires sont des problèmes qui surviennent à cause de la prise d’un médicament.</p> <p>Les opiacés peuvent faire que votre enfant soit endormi, ait des vertiges ou qu’il ait des douleurs à l’estomac ou des démangeaisons. Il pourrait également avoir de la difficulté à aller à la selle. On appelle cela de la constipation. Parfois, les enfants prennent un médicament différent pour alléger les douleurs à l’estomac ou les aider à aller à la toilette. Certains enfants pourraient avoir des rêves étranges ou voir ou entendre des choses qui ne sont pas réelles.</p> <p>Les opiacés peuvent également ralentir le rythme de la respiration de votre enfant. Cet effet secondaire est très rare. L’infirmier surveillera votre enfant de très près pour déceler des signes ou des problèmes liés à sa respiration. Les rythmes cardiaque et de respiration de votre enfant seront surveillés pendant la perfusion. Il existe divers moyens de réduire ou d’éliminer ces effets secondaires. </p> <p><strong>Discutez avec le médecin ou l’infirmier de toute question ou préoccupation que vous pourriez avoir</strong></p><h2>La perfusion d’opiacés maintien la régularité des niveaux de médicament</h2> <p>La perfusion permet qu’une quantité précise et constante de médicament passe par l'IV de votre enfant. De cette façon, la quantité d’analgésique dans la circulation sanguine demeure la même en tout temps. La douleur de votre enfant est constamment prise en charge parce qu’il obtient toujours une quantité régulière de médicament. La perfusion pourrait permettre à votre enfant de mieux supporter la douleur.</p> <p>Il est important de gérer la douleur de votre enfant. Lorsqu’il est à l'aise, il peut aider à ses propres soins. Votre enfant peut également se lever et se déplacer plus rapidement et facilement. Cela l’aidera à se rétablir plus rapidement. </p><h2>Ajuster la perfusion pour mieux contrôler la douleur</h2> <p>Si votre enfant a toujours mal, la quantité de médicament qui passe par l'IV. sera modifiée ou il se peut que votre enfant obtienne une dose de médicament supplémentaire par l’IV afin de contrôler la douleur plus rapidement. </p> <h2>Votre enfant sera sous perfusion aussi longtemps qu’il en aura besoin</h2> <p>La période pendant laquelle votre enfant est sous perfusion dépend de la douleur qu’il ressent. Cela dépend également de l’état de votre enfant. Si votre enfant a subi une opération, la douleur diminuera de jour en jour après l’intervention. L’infirmier continuera de demander à votre enfant de lui indiquer le niveau de douleur qu’il ressent. La quantité de médicament dans la perfusion sera diminuée graduellement au fur et à mesure que la douleur de votre enfant diminue.</p> <h2>Autres analgésiques après la perfusion</h2> <p>Lorsqu'on ne donnera plus de médicament par goutte-à-goutte, il se peut que votre enfant reçoive toujours un analgésique par IV. ou sous forme de pilule ou de liquide. En général, lorsque votre enfant boit et mange bien, on lui donne un médicament en pilule ou en liquide. Le type de médicament dépend de la douleur de votre enfant.</p><h2>Évaluer la douleur de votre enfant</h2> <p>L’infirmier demandera régulièrement à votre enfant s'il a mal pour savoir si le médicament fonctionne bien.</p> <p>Si l’enfant est plus âgé, il est possible qu’on lui demande de choisir un chiffre de 0 à 10 pour évaluer la douleur qu’il ressent. Zéro signifie qu’il ne ressent aucune douleur et 10 signifie le niveau de douleur maximal.</p> <p>Si vous avez un jeune enfant, l’infirmier lui demandera s'il a mal un petit peu, beaucoup ou énormément.</p> <p>Il y a d’autres façons de vérifier la douleur d’un enfant qui ne peut ni parler ni comprendre ce qui concerne sa douleur. Pour évaluer la douleur, l’infirmier observera votre enfant en vue de déceler des signes comme pleurer, être grincheux, jouer ou dormir.</p> <p>Si vous croyez que votre enfant a mal, dites-le à son infirmier.</p><h2>À SickKids</h2> <p>Veuillez noter que votre enfant ne peut pas quitter l’étage quand il est sous perfusion. Un infirmier doit accompagner votre enfant s'il quitte sa chambre. </p>

 

 

Continuous opioid infusion986.000000000000Continuous opioid infusionContinuous opioid infusionCEnglishPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)BodyNervous systemDrug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZLorraine Bird, RN, BScN, APN;Basem Naser, MBBS, FRCPC;Lori Palozzi, RN, MScN, ACNP7.0000000000000071.0000000000000737.000000000000Health (A-Z) - ProcedureHealth A-Z<p>This page explains how a continuous opioid infusion gives a specific and constant amount of pain medication to your child through an IV.</p><h2>What is a continuous opioid infusion?</h2> <p>Opioids (say: OH-pee-oyds) are strong medicines that are given to control pain. <a href="/Article?contentid=194&language=English">Morphine</a> and hydromorphone are opioids.</p> <p>A continuous infusion gives small but steady amounts of opioid medicine to your child. The infusion is given through your child's IV line. An IV (intravenous) line is a small tube that is put into a vein in your child's arm or leg to give medicine or fluids.</p><h2>Key points</h2> <ul> <li>Continuous infusion means your child gets a constant, steady amount of medicine to control pain. </li> <li>Opioids are strong medicines that control pain, such as <a href="/Article?contentid=194&language=English">morphine</a>. Most side effects from opioid medicines are mild and can be treated. </li> <li>Your child's pain will be assessed regularly. </li> <li>How much medicine is used, and for how long, depends on your child's condition and how much pain your child has. </li> </ul><h2>Side effects from opioid medicine</h2> <p>Like many other medicines, opioids can cause side effects. Side effects are problems that may happen while taking the medicine.</p> <p>Opioids may make your child feel sleepy, dizzy, sick to the stomach or itchy. Your child may also have a hard time going to the bathroom. This is called constipation. Sometimes, children are given a different medicine to help them feel less sick to the stomach or to help them go to the bathroom. Some children may have strange dreams or see or hear things that are not there. </p> <p>Opioids may also slow your child's breathing rate. This side effect is very rare. Your child's nurse will watch your child very closely for signs of problems with breathing. Your child's heart and breathing rate will be monitored during the infusion. There are a number of ways to lessen or take away these side effects. </p> <p><strong>Ask your child's doctor or nurse about any questions or concerns you have.</strong></p><h2>Opioid infusion keeps pain medicine levels steady</h2> <p>The infusion lets a specific, constant amount of medicine go into your child's IV line. This way, the level of pain medicine in the bloodstream stays the same at all times. Your child's pain is always being treated because they are always getting a steady amount of medicine. With an infusion, your child may be better able to cope with pain.</p> <p>Managing your child's pain is important. When your child is comfortable, they will be able to help with their own care. Your child can also be up and moving around more quickly and easily. This will help your child get better sooner. </p><h2>Adjusting the infusion to better control pain</h2> <p>If your child is still in pain, the amount of medicine going through the IV will be changed. Or, your child may get an extra dose of medicine through the IV to deal with the pain more quickly. </p> <h2>Your child will have the infusion for as long as they need it</h2> <p>How much time your child has the infusion depends on the amount of pain they are having. It also depends on your child's condition. If your child has had an operation, the pain will get better each day after the operation. The nurse will keep asking your child about the amount of pain they feel. The amount of medicine in the infusion will be slowly lowered as your child feels less pain. </p> <h2>Other pain medicines after the infusion is stopped</h2> <p>When the infusion is stopped, your child may still get pain medicine. This may be through the IV or in a pill or liquid form. Generally, when your child is drinking and eating well, medicine in pill or liquid form is given. The type of medicine will depend on your child's pain. </p><h2>Assessing your child's pain</h2> <p>The nurse will regularly ask your child about their pain to find out how well the medicine is working.</p> <p>An older child may be asked to pick a number from 0 to 10 to rate how much pain they feel. Zero means no pain and 10 means the worst pain. </p> <p>If you have a young child, the nurse will ask your child to say if their pain is a little, medium or a lot.</p> <p>There are other ways to check about pain in children that cannot speak or do not understand about their pain. To assess pain, the nurse will also watch your child for signs such as crying, fussing, playing or sleeping. </p> <p>If you think your child is in pain, speak to your child's nurse.</p><h2>At SickKids</h2> <p>Please note that your child will not be allowed off the floor while receiving an infusion. A nurse must accompany your child outside their room. </p>Continuous opioid infusion
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