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| {{Dosing Variables}}
| | #REDIRECT[[Acute pain management]] |
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| {| class="wikitable"
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| |-
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| ! scope="col" | Agent
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| ! scope="col" | Oral
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| ! scope="col" | Parenteral
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| |-
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| | colspan="2" | '''Step1. Mild Pain, Nonopiod, +/- Adjuvant'''
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| |-
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| | [[Acetaminophen]]
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| | 650mg q4-q6h prn or 1000mg q6h prn
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| | -
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| |-
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| | [[Aspirin]]
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| | 650mg q4-6h prn or 1000mg q6h prn
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| | -
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| |-
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| | [[Ibuprofen]]<span class="Apple-tab-span" style="white-space:pre"> </span>
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| | 400-800mg q6-8h prn
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| | -
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| |-
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| | [[Gabapentin]] (neuropathic Pain)
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| | Start 300mg qhs
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| | -
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| |-
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| | colspan="2" | '''Step2. Mod Pain, [[Opiod]] for mild/mod pain, +/-nonopiod, +/-Adjuvant'''
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| |-
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| | [[Hydrocodone]] (5mg/[[Acetaminophen]] 325mg)
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| | 1-2 tabs PO q4-6h prn
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| | -
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| |-
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| | [[Oxycodone]] (5mg/A[[cetaminophen]] 325mg)
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| | 1-2 tabs PO q4h prn
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| | -
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| |-
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| | [[Oxycodone]] (Oxycontin)
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| | 5mg q4-6h
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| | -
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| |-
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| | [[Tramadol]]
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| | 50-100mg q4-6h (max 400mg/day)
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| | -
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| |-
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| | colspan="2" | '''Step3. Severe Pain, Opiod for mod/sev pain, +/- nonopiod, +/-Adjuvant'''
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| |-
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| | [[Morphine]]
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| | 10-30mg q3-4h
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| | 0.1-0.2 mg/kg(up to 15mg q4h)
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| |-
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| | [[Morphine]] (controlled release)
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| | Start 30mg q8-12h , increase prn to 90-120mg q12h
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| | -
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| |-
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| | [[Fentanyl]]
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| | -
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| | {{#var:fentanyl}} mcg/kg q1-3h
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| |-
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| | [[Hydromorphone]] (Dilaudid)
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| | 2-4mg q4-6h
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| | 1-4mg q4-6h<br>
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| |-
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| | Levorphanol
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| | 2mg q6-8h
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| 2mg q6-8h
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| |}
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| ^In elders, use a bulk laxative and give instructions regarding activity, hydration and close follow-up
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| ==See Also==
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| [[Acute pain management]] | |
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| ==References==
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| *World Health Organization 3-Step Analgesia Ladder for Cancer & Washington Manual Intership Survival Guide, 2008
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| [[Category:Misc/General]]
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| [[Category:Drugs]]
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