title: Adverse responses: sedation, analgesia and neuromuscular blocking agents in critically ill children.
abstract: Advanced practice nurses (APNs) prescribe sedation, analgesia, and neuromuscular blocking agents in the management of critically ill children. Although most children are unscathed from the use of the medications, some suffer adverse responses. This article elucidates adverse responses to these medications for the APN, including withdrawal syndrome, muscle weakness, decreased gastric motility, corneal abrasions, and costs associated with these morbidities.
authors.affiliation: Pediatric Critical Care, Children's Memorial Hospital, 2300 Children's Plaza Box 246, Chicago, IL 60614, USA. lsorce@childrensmemorial.org
authors.forename: Lauren R
authors.initials: LR
authors.lastname: Sorce
mesh_terms: D000698:Analgesia / Q000009:adverse effects* / Q000191:economics / Q000451:nursing; D002648:Child; D016292:Procedural Sedation / Q000009:adverse effects* / Q000191:economics / Q000451:nursing; D065306:Corneal Injuries; D003362:Cost-Benefit Analysis; D003422:Critical Care / Q000458:organization & administration*; D016638:Critical Illness / Q000628:therapy; D016903:Drug Monitoring / Q000379:methods / Q000451:nursing; D004361:Drug Tolerance; D005769:Gastrointestinal Motility / Q000187:drug effects; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D018908:Muscle Weakness / Q000139:chemically induced; D009466:Neuromuscular Blocking Agents / Q000009:adverse effects* / Q000191:economics; D009720:Nurse Clinicians / Q000458:organization & administration; D009722:Nurse Practitioners / Q000458:organization & administration; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D010371:Pediatric Nursing / Q000458:organization & administration*; D013375:Substance Withdrawal Syndrome / Q000209:etiology / Q000451:nursing; D019966:Substance-Related Disorders / Q000209:etiology / Q000451:nursing
chemical_list: D009466:Neuromuscular Blocking Agents