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학습 자료 둘러보기 →For a patient on morphine PCA, the immediate priority is respiratory assessment using the ABC framework. Opioids depress the brainstem's respiratory centers, making respiratory depression the most life-threatening risk.
Monitor respiratory rate, depth, and SpO2 every 15 minutes during the initial high-risk period. A rate below 12 breaths/min is a critical warning sign for opioid toxicity and requires immediate intervention.
Do not rely solely on pulse oximetry. It is a late indicator of hypoventilation, especially if the patient is on supplemental oxygen. A drop in SpO2 means respiratory compromise is already significant. Always assess rate and depth directly.
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