In this third part of our analgesics lesson, we talk about the pain assessment and monitoring that we do for our patients in the ICU while receiving continuous infusions of analgesics.

In an ideal world, our patient would be able to self-report their pain on a 1 to 10 scale. If they are able to do this then this is what we are to use when determining if there are any changes in the analgesic therapy that we have going. Unfortunately, many of our patients are not going to be able to tell us when they have pain, and so we must try and determine how much pain they might be having, if any at all.

To do that, we use a behavioral pain scale to assess their pain levels, and the most common one that we will use is called the Critical Care Pain Observation Tool, or CPOT score. This is an 8 point score where we look at 4 indicators, Facial Expressions, Body Movements, Muscle Tension, and either Ventilator Compliance or Vocalization. We score each indicator from 0-2 and then add all the scores together to determine if our patient is having any pain and if so how much. Based on this score we then would either provide bolus or adjust our continuous infusion rate to be most appropriate.

Hopefully after watching this lesson you will have a better understanding of how we assess our patients for pain in the critical care environment and that you will be able to appropriately use a behavioral scale, such as CPOT in the event your patient cannot tell you what their pain level is.

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Don't forget to check out the playlist for this series of lessons here:    • ICU Drips  

Also check out these other great lessons and series of lessons below!

Hemodynamics Principals:    • Hemodynamic Principals  
Shock:    • Shock  
Arterial Blood Gases:    • Arterial Blood Gases (ABGs)  
ECG/EKG Rhythm Interpretation:    • ECG/EKG Interpretation  
Heart Failure:    • Heart Failure  
Endocrine System:    • Endocrine System  

Blood Tubes - Order of Draw:    • Order of Draw and Additives | Blood C...  
Glasgow Coma Scale:    • Glasgow Coma Scale (GCS) Assessment  

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