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Overview of Pain Management |
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Opioids in Acute Pain - for example post operative pain
Morphine is the Gold Standard and should be used unless there are any contra-indications
Check local guidelines/protocols!!
Morphine as per IV Protocol
- 1-2mg every 5 minutes under direct supervision
Morphine oral route
- Immediate release-Sevredol
- 10-20mg 1 hourly PO PRN
Fentanyl
- "2nd line" IV opioid - alternative if unable to use morphine
- Fentanyl as per IV protocol
- 10-20mcg every 5 minutes under direct supervision
Oxycodone
- "2nd line" oral opioid - alternative if unable to use morphine
- Oxycodone immediate release-Oxynorm
- 5-10mg 2 hourly PO PRN
- Oxycodone as per IV protocol (sometimes prescribed by Acute Pain Service)
- 1-2mg every 5 minutes under direct supervision
Tramadol
- Immediate release Tramadol 50-100mg PO QID PRN
- Used in conjunction with other analgesics
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