Prolonged indwelling catheters predispose to infection. Encourage turning, coughing, deep breathing, and incentive spirometry. Deep breathing has been shown to significantly reduce the rate of respiratory complications such as pneumonia. Specify neurologic or vascular checks. Adequate doses improve mobility.
High doses lead to hypoventilation and atelectasis.
In fact, Phenergan may have an antianalgesic effect. They are, however, sedatives. Propoxyphene-acetaminophen combinations have not been shown to be any better than acetaminophen alone. Bolus with 2 to 10 mg over 20 to 30 minutes. Generally start at 10-minute lockout and adjust from there.