Document Detail

Patient controlled analgesia and GI dysfunction.
MedLine Citation:
PMID:  2202954     Owner:  NLM     Status:  MEDLINE    
A prospective randomized study of 300 total joint replacement patients was done comparing the gastrointestinal (GI) side effects of morphine, meperidine, and nalbuphine given by patient controlled analgesia (PCA). All three groups of patients developed some form of GI dysfunction, but no significant difference was found among the three narcotics used. It was found that normal GI assessment in the initial postoperative period does not guarantee that GI function will remain normal. This finding indicates a need for extended nursing assessment of the GI status of the postoperative PCA patient.
K A Teter; G Viellion; E M Keating
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Orthopedic nursing     Volume:  9     ISSN:  0744-6020     ISO Abbreviation:  Orthop Nurs     Publication Date:    1990 Jul-Aug
Date Detail:
Created Date:  1990-10-04     Completed Date:  1990-10-04     Revised Date:  2014-10-09    
Medline Journal Info:
Nlm Unique ID:  8409486     Medline TA:  Orthop Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-6     Citation Subset:  N    
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MeSH Terms
Analgesia / methods*
Digestive System / drug effects*,  physiopathology
Hip Prosthesis
Knee Prosthesis
Meperidine / adverse effects
Morphine / adverse effects
Nalbuphine / adverse effects
Pain, Postoperative / nursing,  physiopathology
Prospective Studies
Randomized Controlled Trials as Topic
Self Care / methods*
Reg. No./Substance:
76I7G6D29C/Morphine; 9E338QE28F/Meperidine; L2T84IQI2K/Nalbuphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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