{"id":128,"date":"2025-10-03T22:14:45","date_gmt":"2025-10-03T20:14:45","guid":{"rendered":"https:\/\/infirmieresspi.com\/?p=128"},"modified":"2025-10-04T18:40:23","modified_gmt":"2025-10-04T16:40:23","slug":"pca-morphine-surveillance-securite","status":"publish","type":"post","link":"https:\/\/infirmieresspi.com\/?p=128","title":{"rendered":"PCA morphine \u2014 surveillance &amp; s\u00e9curit\u00e9"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"128\" class=\"elementor elementor-128\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7bcd0e4 e-flex e-con-boxed e-con e-parent\" data-id=\"7bcd0e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8ef54c5 elementor-widget elementor-widget-html\" data-id=\"8ef54c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<section class=\"isspi-doc\">\r\n  <style>.isspi-doc{--ink:#0f172a;--muted:#475569;--border:#e5e7eb;font-family:system-ui,-apple-system,Segoe UI,Roboto,Helvetica,Arial,sans-serif;color:var(--ink)}.isspi-doc h1{margin:.2rem 0 .6rem}.isspi-doc h2{margin:1.1rem 0 .45rem;border-bottom:2px solid var(--border);padding-bottom:.25rem}.isspi-doc ul{margin-left:1.2rem}.isspi-doc ol{margin-left:1.2rem}.isspi-doc .kicker{letter-spacing:.12em;text-transform:uppercase;font-weight:800;color:var(--muted);font-size:.85rem}.isspi-doc .warning{border-left:4px solid #f59e0b;background:#fff7ed;padding:.8rem;border-radius:.5rem}.isspi-doc .danger{border-left:4px solid #ef4444;background:#fef2f2;padding:.8rem;border-radius:.5rem}.isspi-doc small{color:var(--muted)}<\/style>\r\n  <p class=\"kicker\">Fiche SSPI<\/p>\r\n  <h1>PCA morphine \u2014 surveillance &amp; s\u00e9curit\u00e9<\/h1>\r\n\r\n  <h2>Objectif<\/h2>\r\n  <p>Assurer l\u2019analg\u00e9sie contr\u00f4l\u00e9e par le patient en s\u00e9curit\u00e9, avec surveillance adapt\u00e9e et tra\u00e7abilit\u00e9.<\/p>\r\n\r\n  <h2>Rappels s\u00e9curit\u00e9<\/h2>\r\n  <ul>\r\n    <li><strong>PCA = patient only<\/strong> (personnel &amp; entourage ne d\u00e9clenchent pas).<\/li>\r\n    <li><strong>R\u00e9glages<\/strong> valid\u00e9s selon proc\u00e9dure (double contr\u00f4le si exig\u00e9).<\/li>\r\n    <li><strong>Trait N\u00b0 urgence<\/strong> : acc\u00e8s rapide au protocole de r\u00e9version (naloxone si prescrit).<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Surveillance<\/h2>\r\n  <ul>\r\n    <li>Douleur (\u00e9chelle) et consommation PCA (nombre d\u2019appuis\/doses d\u00e9livr\u00e9es).<\/li>\r\n    <li>Vigilance\/s\u00e9dation, FR\/SpO\u2082 selon protocole.<\/li>\r\n    <li>Naus\u00e9es, prurit, r\u00e9tention urinaire, hypotension.<\/li>\r\n  <\/ul>\r\n\r\n  <h2>Transmissions<\/h2>\r\n  <ul>\r\n    <li>Param\u00e8tres, douleur cible atteinte ou non, effets ind\u00e9sirables.<\/li>\r\n    <li>R\u00e9glages v\u00e9rifi\u00e9s, consignes donn\u00e9es au patient.<\/li>\r\n  <\/ul>\r\n\r\n  <div class=\"danger\"><strong>\u00c0 alerter :<\/strong> s\u00e9dation excessive, bradypn\u00e9e\/hypoventilation, d\u00e9saturation, vomissements incoercibles, confusion.<\/div>\r\n  <p><small>\u26a0\ufe0f Se conformer aux protocoles PCA de l\u2019\u00e9tablissement et aux prescriptions d\u2019anesth\u00e9sie.<\/small><\/p>\r\n<\/section>\r\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fiche SSPI PCA morphine \u2014 surveillance &amp; s\u00e9curit\u00e9 Objectif Assurer l\u2019analg\u00e9sie contr\u00f4l\u00e9e par le patient en s\u00e9curit\u00e9, avec surveillance adapt\u00e9e [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":176,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-128","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fiches-sspi-fiches-sspi"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts\/128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=128"}],"version-history":[{"count":4,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts\/128\/revisions"}],"predecessor-version":[{"id":132,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/posts\/128\/revisions\/132"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=\/wp\/v2\/media\/176"}],"wp:attachment":[{"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infirmieresspi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}