Analgesia and Sedation - Revision history

Mfrdmanager at 13:20, 13 November 2020

2020-11-13T13:20:44Z

Mfrdmanager at 14:21, 13 September 2019

2019-09-13T14:21:17Z

Mfrdmanager at 14:20, 13 September 2019

2019-09-13T14:20:27Z

Mfrdmanager at 14:17, 13 September 2019

2019-09-13T14:17:33Z

Mfrdmanager at 14:12, 13 September 2019

2019-09-13T14:12:48Z

Mfrdmanager: /* 2.04 ANALGESIA/SEDATION */

2018-03-21T19:54:10Z

‎2.04 ANALGESIA/SEDATION

Mfrdmanager: /* 2.04 ANALGESIA/SEDATION */

2018-03-21T19:51:26Z

‎2.04 ANALGESIA/SEDATION

Mfrdmanager: /* 2.04 ANALGESIA/SEDATION */

2018-03-21T19:51:12Z

‎2.04 ANALGESIA/SEDATION

Mfrdmanager: /* 2.04 ANALGESIA/SEDATION */

2018-03-21T19:49:33Z

‎2.04 ANALGESIA/SEDATION

Mfrdmanager: /* 2.04 ANALGESIA/SEDATION */

2018-03-21T19:46:08Z

‎2.04 ANALGESIA/SEDATION

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 * If the pain is still significant (6 or greater) and the patient does not have a contraindication then follow the guidelines below.
 * Vital signs are to be taken before and after the administration of the medication. Appropriate documentation is expected.
 '''[[Chest Pain Acute Coronary Syndrome|ANGINA / MYOCARDIAL INFARCTION]]:'''
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
-* NOTE: [[Analgesics|MORPHINE SULFATE]] is the preferred treatment of choice, if allergic to MS continue to the following:
+* NOTE: [[Morphine_Sulfate|MORPHINE SULFATE]] is the preferred treatment of choice, if allergic to MS continue to the following:
-* [[Analgesics|NITROUS OXIDE]] self-administered as needed for pain.
+* [[Nitrous_Oxide|NITROUS OXIDE]] self-administered as needed for pain.
 '''[[Acute Abdominal Pain|ACUTE ABDOMINAL PAIN]]:'''
-* [[Analgesics|NITROUS OXIDE]] self-administered.
+* [[Nitrous_Oxide|NITROUS OXIDE]] self-administered.
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
 '''ANXIETY:'''
-* [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
+* [[Valium|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
 '''[[Burns - Thermal, Electrical, Chemical|BURNS]]: (with moderate to severe pain)'''
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.
-* [[Analgesics|FENTANYL]] 1-2 mcg/kg IVP SLOW titrate to effect
+* [[Versed|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.
-* [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.
+* [[Nitrous_Oxide|NITROUS OXIDE]] self-administered
 '''COMBATIVE POST RESUSCITATION / [[Head Injuries|HEAD INJURY]]:'''
-* [[Anesthetics|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
+* [[Ketamine|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
 Note: Morphine should be considered first for combative head injury and suspected MI.
-* [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
+* [[Versed|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
-* [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
+* [[Valium|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
 '''[[Cold Emergencies|FROST BITE]]:'''
-* [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
+* [[Nitrous_Oxide|NITROUS OXIDE]] self administered, as needed for pain
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
 '''MUSCULOSKELETAL PAIN / [[Extremity Injuries|EXTREMITY PAIN]]:'''
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
-* [[Analgesics|FENTANYL]] 1-2 mcg/kg IVP SLOW titrate to effect
+* [[Nitrous_Oxide|NITROUS OXIDE]] self administered, as needed for pain
-* [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
+* [[Versed|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
-* [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
+* [[Valium|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
 '''FLANK PAIN/[[Suspected Kidney Stone|SUSPECTED KIDNEY STONES]]:'''
-* [[Antipyretic/Anti Inflammatory|TORADOL (KETOROLAC)]] 15mg – 30mg IV depending on hydration status
+* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status
-* [[Analgesics|MORPHINE SULFATE]] 2-20mg IV, IO or IN titrated to effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2-20mg IV, IO or IN titrated to effect
 '''[[Sickle Cell Anemia Crisis|SICKLE CELL ANEMIA CRISIS]]:'''
-* [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
+* [[Nitrous_Oxide|NITROUS OXIDE]] self administered, as needed for pain
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
 '''PEDIATRIC PATIENTS:'''
-* [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
+* [[Nitrous_Oxide|NITROUS OXIDE]] self administered, as needed for pain
-* [[Analgesics|MORPHINE SULFATE]], 0.1 mg/kg titrate small increments every 20-30 seconds for effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]], 0.1 mg/kg titrate small increments every 20-30 seconds for effect
-* [[Sedative Hypnotics|MIDAZOLAM (VERSED)]], 0.1 mg/kg refer to Handtevy System for dosage
+* [[Versed|MIDAZOLAM (VERSED)]], 0.1 mg/kg refer to Handtevy System for dosage
 '''PROCEDURAL SEDATION: Cardioversion, Pacing, Intubation'''
-* [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
+* [[Morphine_Sulfate|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
-* [[Analgesics|FENTANYL]] 1-2 mcg/kg IVP SLOW titrate to effect
+* [[Versed|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
-* [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
+* [[Valium|DIAZEPAM (VALIUM)]] 2 - 5 mg SLOW IVP to desired effect
 '''THE ABOVE MEDICATIONS MAY ALL CAUSE A DECREASED LOC AND COULD COMPROMISE A PATIENT’S AIRWAY. JUDICIOUS USE IS A MUST! ALLOW AMPLE TIME FOR EACH DOSE TO TAKE EFFECT PRIOR TO ANY ADDITIONAL DOSES BEING ADMINISTERED.'''
@@ Line 69: / Line 61: @@
 * These drugs may be given in combination for maximum effectiveness.
 * Ensure that Pulse Oximeter is in place.
-* Ensure that BVM, [[Antagonists|FLUMAZENIL (ROMAZICON)]] and/or [[Antagonists|NALOXONE (NARCAN)]] are readily available.
+* Ensure that BVM, [[Flumazenil|FLUMAZENIL (ROMAZICON)]] and/or [[Naloxone|NALOXONE (NARCAN)]] are readily available.
 [[Category:Primary Care|0204]]

@@ Line 19: / Line 19: @@
 * [[Analgesics|NITROUS OXIDE]] self-administered as needed for pain.
 * [[Analgesics|FENTANYL]] 1-2 mcg/kg IVP SLOW titrate to effect
-* [[Antipyretic/Anti-Inflammatory|TORADOL (KETOROLAC)]] in suspected Pericarditis: Adult: 30mg (IVP) or 60mg (IM), > 65 or renal impairment: 15mg (IVP) or 30mg (IM). If dehydration suspected (dry or cracked lips or tongue, sunken eyes, decreased urine production) administer 250-300ml NaCL prior to administration of Toradol. '''''Administer fluid cautiously in the cardiac patient'''''.
+* [[Antipyretic / Anti Inflammatory|TORADOL (KETOROLAC)]] in suspected Pericarditis: Adult: 30mg (IVP) or 60mg (IM), > 65 or renal impairment: 15mg (IVP) or 30mg (IM). If dehydration suspected (dry or cracked lips or tongue, sunken eyes, decreased urine production) administer 250-300ml NaCL prior to administration of Toradol. '''''Administer fluid cautiously in the cardiac patient'''''.
 '''[[Acute Abdominal Pain|ACUTE ABDOMINAL PAIN]]:'''
 * [[Analgesics|NITROUS OXIDE]] self-administered.

@@ Line 19: / Line 19: @@
 * [[Analgesics|NITROUS OXIDE]] self-administered as needed for pain.
 * [[Analgesics|FENTANYL]] 1-2 mcg/kg IVP SLOW titrate to effect
-* [[Antipyretic/Anti Inflammatory|TORADOL (KETOROLAC)]] in suspected Pericarditis: Adult: 30mg (IVP) or 60mg (IM), > 65 or renal impairment: 15mg (IVP) or 30mg (IM). If dehydration suspected (dry or cracked lips or tongue, sunken eyes, decreased urine production) administer 250-300ml NaCL prior to administration of Toradol. '''''Administer fluid cautiously in the cardiac patient'''''.
+* [[Antipyretic/Anti-Inflammatory|TORADOL (KETOROLAC)]] in suspected Pericarditis: Adult: 30mg (IVP) or 60mg (IM), > 65 or renal impairment: 15mg (IVP) or 30mg (IM). If dehydration suspected (dry or cracked lips or tongue, sunken eyes, decreased urine production) administer 250-300ml NaCL prior to administration of Toradol. '''''Administer fluid cautiously in the cardiac patient'''''.
 '''[[Acute Abdominal Pain|ACUTE ABDOMINAL PAIN]]:'''
 * [[Analgesics|NITROUS OXIDE]] self-administered.

@@ Line 23: / Line 23: @@
 * [[Analgesics|NITROUS OXIDE]] self-administered.
 * [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
 '''ANXIETY:'''
 * [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
 '''[[Burns - Thermal, Electrical, Chemical|BURNS]]: (with moderate to severe pain)'''
 * [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.
 * [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.
 * [[Analgesics|NITROUS OXIDE]] self-administered
@@ Line 38: / Line 40: @@
 * [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
 * [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
 '''MUSCULOSKELETAL PAIN / [[Extremity Injuries|EXTREMITY PAIN]]:'''
 * [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
 * [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
 * [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
@@ Line 46: / Line 50: @@
 * [[Antipyretic/Anti Inflammatory|TORADOL (KETOROLAC)]] 15mg – 30mg IV depending on hydration status
 * [[Analgesics|MORPHINE SULFATE]] 2-20mg IV, IO or IN titrated to effect
 '''[[Sickle Cell Anemia Crisis|SICKLE CELL ANEMIA CRISIS]]:'''
 * [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
 * [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
 '''PEDIATRIC PATIENTS:'''
 * [[Analgesics|NITROUS OXIDE]] self administered, as needed for pain
@@ Line 55: / Line 61: @@
 '''PROCEDURAL SEDATION: Cardioversion, Pacing, Intubation'''
 * [[Analgesics|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
 * [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
 * [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 5 mg SLOW IVP to desired effect

@@ Line 18: / Line 18: @@
 * NOTE: [[Analgesics|MORPHINE SULFATE]] is the preferred treatment of choice, if allergic to MS continue to the following:
 * [[Analgesics|NITROUS OXIDE]] self-administered as needed for pain.
 * [[Antipyretic/Anti Inflammatory|TORADOL (KETOROLAC)]] in suspected Pericarditis: Adult: 30mg (IVP) or 60mg (IM), > 65 or renal impairment: 15mg (IVP) or 30mg (IM). If dehydration suspected (dry or cracked lips or tongue, sunken eyes, decreased urine production) administer 250-300ml NaCL prior to administration of Toradol. '''''Administer fluid cautiously in the cardiac patient'''''.
 '''[[Acute Abdominal Pain|ACUTE ABDOMINAL PAIN]]:'''