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|
| (No se muestran 6 ediciones intermedias de 3 usuarios) |
| Línea 1: |
Línea 1: |
| {| class="wikitable"
| | #REDIRECT[[Acute pain management]] |
| |-
| |
| ! scope="col" | Agent
| |
| ! scope="col" | Oral
| |
| ! scope="col" | Parenteral
| |
| |-
| |
| | colspan="2" | '''Step1. Mild Pain, Nonopiod, +/- Adjuvant'''
| |
| |
| |
| |-
| |
| | Acetaminophen
| |
| | 650mg q4-q6h prn or 1000mg q6h prn
| |
| | -
| |
| |-
| |
| | Aspirin
| |
| | 650mg q4-6h prn or 1000mg q6h prn
| |
| | -
| |
| |-
| |
| | Ibuprofen<span class="Apple-tab-span" style="white-space:pre"> </span>
| |
| | 400-800mg q6-8h prn
| |
| | -
| |
| |-
| |
| | Gabapentin (neuropathic Pain)
| |
| | Start 300mg qhs
| |
| | -
| |
| |-
| |
| | colspan="2" | '''Step2. Mod Pain, [[Opiod]] for mild/mod pain, +/-nonopiod, +/-Adjuvant'''
| |
| |
| |
| |-
| |
| | Hydrocodone (5mg/Acetaminophen 325mg)
| |
| | 1-2 tabs PO q4-6h prn
| |
| | -
| |
| |-
| |
| | Oxycodone (5mg/Acetaminophen 325mg)
| |
| | 1-2 tabs PO q4h prn
| |
| | -
| |
| |-
| |
| | Oxycodone(Oxycontin)
| |
| | 5mg q4-6h
| |
| | -
| |
| |-
| |
| | Tramadol
| |
| | 50-100mg q4-6h (max 400mg/day)
| |
| | -
| |
| |-
| |
| | colspan="2" | '''Step3. Severe Pain, Opiod for mod/sev pain, +/- nonopiod, +/-Adjuvant'''
| |
| |
| |
| |-
| |
| | Morphine
| |
| | 10-30mg q3-4h
| |
| | 0.1-0.2 mg/kg(up to 15mg q4h)
| |
| |-
| |
| | Morphine(controlled release)
| |
| | Start 30mg q8-12h , increase prn to 90-120mg q12h
| |
| | -
| |
| |-
| |
| | Fentanyl
| |
| | -
| |
| | 0.1mg q1-3h
| |
| |-
| |
| | [[Hydromorphone]](Dilaudid)
| |
| | 2-4mg q4-6h
| |
| | 1-4mg q4-6h<br>
| |
| |-
| |
| | Levorphanol
| |
| | 2mg q6-8h
| |
| |
| |
| 2mg q6-8h
| |
| | |
| |}
| |
| | |
| ^In elders had a bulk laxative & instructions regarding activity, hydration and close f/u
| |
| | |
| | |
| ==References==
| |
| *World Health Organization 3-Step Analgesia Ladder for Cancer & Washington Manual Intership Survival Guide, 2008
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|
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| | |
| [[Category:Misc/General]]
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| [[Category:Drugs]]
| |
