Drew Debra J, Gordon Debra B, Morgan Bonnie, Manworren Renee C B
University of Minnesota Medical Center, Fairview, Minneapolis.
Anesthesiology & Pain Medicine University of Washington.
Pain Manag Nurs. 2018 Jun;19(3):207-210. doi: 10.1016/j.pmn.2018.03.003.
Effective pain management requires careful titration of analgesics and evaluation of individual patient's responses to treatment using valid and reliable pain and pain relief assessment tools, and evidence-based patient monitoring for adverse treatment effects. A registered nurse, competent in pain assessment and analgesic administration, can safely interpret and implement properly written ''as-needed'' or ''PRN'' range orders for analgesic medications. The American Society for Pain Management Nursing (ASPMN) and the American Pain Society (APS) support safe medication practices and the appropriate use of PRN range orders for opioid analgesics in the management of pain.
有效的疼痛管理需要谨慎滴定镇痛药，并使用有效且可靠的疼痛及疼痛缓解评估工具评估个体患者对治疗的反应，以及基于证据对治疗不良反应进行患者监测。一名具备疼痛评估和镇痛药给药能力的注册护士能够安全地解读并执行书写规范的镇痛药“按需”或“必要时”剂量范围医嘱。美国疼痛管理护理学会（ASPMN）和美国疼痛学会（APS）支持安全用药实践以及在疼痛管理中对阿片类镇痛药合理使用“必要时”剂量范围医嘱。
