Pain management in infants and children: Difference between revisions

Revision as of 19:04, 27 November 2015

Pediatric procedures should be performed with pharmacological and nonpharmacological adjuncts to minimize pain (analgesia), decrease anxiety (anxiolysis), and provide sedation.
Fasting status has no correlation with aspiration. Preprocedural fasting is not required and only prevents a theoretical risk of aspiration, though no evidence supports this risk.

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 [https://docs.google.com/forms/d/1eThn5TBGSDkF6tGM8r8l5iQ6Qyl6ajUeso1hofWcfr4/viewform click here]
-== Quiz ==
-<quiz display=simple >
-{Versed (midazolam) is an ANXIOLYTIC. Match weight-based dosing with its route:
+[[Category:Peds]]
-|type="()"}
-| Oral   (PO) | Intranasal   (IN) | Intravenous   (IV)
-+-- 0.5 mg/kg
--+- 0.2 mg/kg
---+ 0.05-0.1 mg/kg
-{Which of the following medications for TOPICAL ANALGESIA is best for open wounds:
-|type="()"}
--EMLA (lidocaine 2.5% + prilocaine 2.5%)
-+LET (lidocaine 4% + epinephrine 0.1% + tetracaine 0.4%)
--Ametop (tetracaine 4%)
--LMX (lidocaine 4% or 5%)
-{Which SYSTEMIC ANALGESIC may cause rigid chest phenomenon in high doses in young patients?
-|type="()"}
--Midazolam (standard IV dose 0.05-0.1 mg/kg; reverse with flumazenil)
--Ketorlac (standard IM dose 1 mg/kg)
--Acetaminophen (standard PO dose 15 mg/kg; reverse with N-acetylcysteine)
-+Fentanyl (standard IV dose 1-2 mcg/kg; reverse with naloxone)
-{Which dissociative anesthetic (which also provides a degree of analgesia) used for SEDATION works in "threshold" dosing? This medication is emetogenic and may increase intracranial pressure, intraocular pressure, and salivation (though it does have a bronchodilatory affect).
-|type="()"}
--Morphine (0.1-0.3 mg/kg IV)
--Hydromorphone (0.015-0.02 mg/kg IV)
-+Ketamine (1-1.5 mg/kg IV)
--Propofol (1-2 mg/kg IV)
-</quiz>
-[[Category:Board Review]]