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PCA

× This protocol is not intended for clinical application. Users are fully responsible for any use of this document. Standard Hospital Formula

Morphine 2 mg/kg in 50 ml Dextrose 5% or Saline1 ml = 40 mcg/kgMax concentration: 100mg/50ml (prefilled adult cartridge >50kg)

Pump Parameters Parameter Setting Notes Loading Dose 80–120 mcg/kg By anaesthetist PCA Bolus 0.5 ml (20–40 mcg/kg) 1 mg if >50kg Lockout 6 minutes Range: 5–12 min Continuous Infusion 0.5 ml/hr (not in use currently) Range: 0–1 ml/hr (not in use currently) Max Dose Limit 400 mcg/kg/4 hr (<50kg) 20 mg/4hr (>50kg) IV Opioid Safety No [...]

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Key Basic Plan for Anaesthetists

Step 1: Call for Help

Ensure that help is on its way so you can focus on managing the patient effectively.

Stop surgery if possible.

Step 2: Ensure Oxygenation

Check fresh gas flow and FiO2. (You may need to change vaporiser settings if you alter the fresh gas flow).

Inspect entire breathing system with all the connections and valves.

Confirm reservoir bag/ventilator bellow movement.

Step 3: Airway

Check position of airway device and listen for noise with a [...]

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PATIENT CONTROLLED ANALGESIA

Maximum concentration: 100mg/50ml Morphine 2 mg/kg added to Dextrose 5% w/v or 0.9% saline to make a total volume of 50 ml (Can use 1mg/kg in 25 ml volume)