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Treatment of Acute pain
Patient
controlled Analgesia with Morphine
bulletAdvantages
bulletAllow patient to take an active role in the care
bulletLess dependent on nurses to deliver the next dose
bulletUse of Meripidine is discouraged due to potential accumulation of active metabolites that can cause seizure
bulletStart with 1 - 2 mg q 15 min prn, up to 12 mg /hr
bulletProvide MS Contin 1 hour before stopping the pump
bulletPatient education & necessary precautions
Ketorolac (Toradol)
bullet30-60 mg IM, then 15-30 mg q6h, followed by oral dose 10 mg q6-8h
bulletLess effective than Opiod
Opiod Opiod analgesic class II
Opiod analgesics class III & IV
Nonopioid Muscle relaxants
Nonopiod analgesics
Migraine Treatment of acute Migraine
Antiemetic Antimetic

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