Pain control: Difference between revisions
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{| | {| class="wikitable" | ||
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! scope="col" | Agent | ! scope="col" | Agent | ||
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| Gabapentin (neuropathic Pain) | | Gabapentin (neuropathic Pain) | ||
| Start 300mg qhs | | Start 300mg qhs | ||
| - | | - | ||
|- | |- | ||
| colspan="2" | '''Step2. Mod Pain, Opiod for mild/mod pain, +/-nonopiod, +/-Adjuvant''' | | colspan="2" | '''Step2. Mod Pain, [[Opiod]] for mild/mod pain, +/-nonopiod, +/-Adjuvant''' | ||
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| 0.1mg q1-3h | | 0.1mg q1-3h | ||
|- | |- | ||
| Hydromorphone(Dilaudid) | | [[Hydromorphone]](Dilaudid) | ||
| 2-4mg q4-6h | | 2-4mg q4-6h | ||
| 1-4mg q4-6h<br> | | 1-4mg q4-6h<br> | ||
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| | | | ||
2mg q6-8h | 2mg q6-8h | ||
|} | |} | ||
^In elders had a bulk laxative & instructions regarding activity, hydration and close f/u | ^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 | ||
World Health Organization 3-Step Analgesia Ladder for Cancer & Washington Manual Intership Survival Guide, 2008 | |||
[[Category:Misc/General]] | [[Category:Misc/General]] | ||
[[Category:Drugs]] | [[Category:Drugs]] | ||
Revision as of 14:52, 10 June 2015
| Agent | Oral | Parenteral |
|---|---|---|
| Step1. Mild Pain, Nonopiod, +/- Adjuvant | ||
| Acetaminophen | 650mg q4-q6h prn or 1000mg q6h prn | - |
| Aspirin | 650mg q4-6h prn or 1000mg q6h prn | - |
| Ibuprofen | 400-800mg q6-8h prn | - |
| Gabapentin (neuropathic Pain) | Start 300mg qhs | - |
| 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) | - |
| 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 |
| 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