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Pain/Sedation/Nausea Directives Flashcards

(51 cards)

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1
Q

Acetaminophen Conditions

A

> /=12
Unaltered

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2
Q

Ibuprofen Conditions

A

> /=12
Unaltered

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3
Q

ketorolac Conditions

A

> /=12
Unaltered
Normotension

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4
Q

Morphine Conditions

A

> /=1
Unaltered
Normotension

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5
Q

Fentanyl Conditions

A

> /=1
Unaltered
Normotension

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6
Q

Acetaminophen Contraindications

A

Use within 4 hours
Allergy
Liver disease
Active vomiting
Unable to tolerate oral meds
Ischemic chest pain

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7
Q

Ibuprofen contraindications

A

NSAID use within 6 hours
Allergy
On anticoagulation therapy
Active bleeding
Hx of peptic ulcer or GI bleed
Pregnant
Asthmatic without prior use of ASA or NSAIDs
CVA/TBI in 24hrs
Renal impairment
Active vomiting
Unable to tolerate oral meds
Ischemic chest pain

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8
Q

Ketorolac Contraindications

A

NSAID use within 6 hours
Allergy
Anticoagulation therapy
Active bleeding
Hx of peptic ulcer or GI bleed
Pregnant
Asthmatic without prior use
CVA/TBI in 24hrs
Known renal impairment
Ischemic chest pain

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9
Q

Morphine Contraindications

A

Allergy
Treatment of headache or chronic pain
SBP drops 1/3
Suspected ischemic chest pain
Active labour

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10
Q

Fentanyl Contraindications

A

Allergy
Treatment of headache or chronic pain
SBP drops 1/3
Suspected ischemic chest pain
Active labour

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11
Q

Acetaminophen >/=12 to <18 treatment

A

500-650mg x 1

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12
Q

Acetaminophen >/=18 treatment

A

960-1000mg

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13
Q

Ibuprofen Treatment

A

400mg x 1

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14
Q

Ketorolac Treatment

A

10-15mg x 1 IM/IV

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15
Q

Mandatory Analgesia Patch

A

Dosage verification for morphine or fentanyl <12

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16
Q

Morphine >/=1 to <18 dose

A

IV/SC
0.05-0.1mg

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17
Q

Morphine >/=1 to <18 max dose

A

5mg

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18
Q

Dosing interval morphine

A

15 min

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19
Q

Max cumulative morphine dose >1 to <18

A

10mg

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20
Q

> 18 Morphine dose

A

2-10mg

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21
Q

Max dose >18 morphine

22
Q

Max cumulative dose >18 morphine

23
Q

Fentanyl >1 to <18 dose

Study These Flashcards
A

up to 1mcg/kg

24
Q

Max fentanyl single dose

25
Dosing interval fentanyl
5 min
26
Max doses fentanyl
4
27
Max cumulative dose fentanyl
225mcg
28
Dose fentanyl >18
25-75mcg
29
Morphine Route
IV/SC
30
Fentanyl Route
IV/IN
31
Procedural Sedation Indications
Post-intubation Transcutaneous pacing
32
Conditions Midazolam procedural sedation
>/= 18 RR >/= 10 Normotension
33
Midazolam Contraindications
Allergy
34
Midazolam Dose procedural sedation
2.5-5mg
35
Max Midazolam dose procedural sedation
5mg
36
Dosing interval midazolam procedural sedation
5 min
37
Max total dose midazolam procedural sedation
10mg
38
Max # doses midazolam
2
39
Combative Pt indications
Combative/violent/agitated behaviour that requires sedation for pt safety
40
Midazolam Combative Conditions
>/=18 Normotensive No reversible causes (hypoglycaemia, hypoxia, hypotension)
41
Ketamine Conditions
>/=18 Normotension Suspected excited delirium, severe violent psychosis No reversible causes
42
Contraindications Ketamine
Allergy Known history of asthma Known pregnancy
43
Patch Point Combative
If unable to assess for normotension or reversible causes
44
Midazolam Combative pt treatment
2.5-5mg q 5 x 2 Max 10mg total
45
Ketamine >18 to <65 treatment
5mg/kg to max of 500mg x 1
46
Ketamine >65 treatment
3mg/kg max of 300mg x 1
47
Dimenhydrinate Conditions
>/=25kg Unaltered
48
Contraindications Dimenhydrinate
Allergy Overdose on antihistamines, anticholinergics, or TCAs
49
Dimenhydrinate treatment >25 to <50
25mg x 1
50
Dimenhydrinate treatment >50kg
50mg x 1
51
Gravel dilution
1:9

Directives (4 decks)

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