Pain Management and Procedures Flashcards Preview

Hugh's MD3 Paediatrics > Pain Management and Procedures > Flashcards

Flashcards in Pain Management and Procedures Deck (2):
1

How do you assess pain in a fracture?

History
- Mechanism of injury
- Characterise the pain - visual analog scan
- PMx
- Medications given

Exam
- posture, distress

2

How do you manage

Management
- distraction
- immobilisation - sling, back slab
- IV fluids
Analgesia
- Panadol up to 20mg/kg
- Ibuprofen
- Intranasal phentanyl SE hypotension, n/v, resp depression
contradiction: change in conscious state, epistaxis, allergy
- Endone, IV morphine
- Tramadol
- Ketamine for relocating
- ?Ondansetron for nausea