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| == Recommended Reading ==
| | #REDIRECT [[Acute pain management]] |
| '''Chapter 39: Pain Management in Infants and Children'''<br />
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| Pages 265 - 270 (Tintinalli's Emergency Medicine, 7th Edition)
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| == Key Points ==
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| * Pediatric procedures should be performed with pharmacological and nonpharmacological adjuncts to minimize pain ('''analgesia'''), decrease anxiety ('''anxiolysis'''), and provide '''sedation'''.
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| * 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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| == Reading Quiz ==
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| [https://docs.google.com/forms/d/1eThn5TBGSDkF6tGM8r8l5iQ6Qyl6ajUeso1hofWcfr4/viewform click here] | |
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| == Quiz ==
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| <quiz display=simple >
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| {Versed (midazolam) is an ANXIOLYTIC. Match weight-based dosing with its route:
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| |type="()"}
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| | Oral (PO) | Intranasal (IN) | Intravenous (IV)
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| +-- 0.5 mg/kg
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| -+- 0.2 mg/kg
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| --+ 0.05-0.1 mg/kg
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| {Which of the following medications for TOPICAL ANALGESIA is best for open wounds:
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| |type="()"}
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| -EMLA (lidocaine 2.5% + prilocaine 2.5%)
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| +LET (lidocaine 4% + epinephrine 0.1% + tetracaine 0.4%)
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| -Ametop (tetracaine 4%)
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| -LMX (lidocaine 4% or 5%)
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| {Which SYSTEMIC ANALGESIC may cause rigid chest phenomenon in high doses in young patients?
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| |type="()"}
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| -Midazolam (standard IV dose 0.05-0.1 mg/kg; reverse with flumazenil)
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| -Ketorlac (standard IM dose 1 mg/kg)
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| -Acetaminophen (standard PO dose 15 mg/kg; reverse with N-acetylcysteine)
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| +Fentanyl (standard IV dose 1-2 mcg/kg; reverse with naloxone)
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| {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).
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| |type="()"}
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| -Morphine (0.1-0.3 mg/kg IV)
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| -Hydromorphone (0.015-0.02 mg/kg IV)
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| +Ketamine (1-1.5 mg/kg IV)
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| -Propofol (1-2 mg/kg IV)
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| </quiz>
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| [[Category:Board Review]] | |
