Pain Management
General Adult Assessment
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Appropriate treatment protocol
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Comfort measures, i.e. patient
positioning, splinting, ice, etc.
Vascular Access
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Cardiac Monitor
KETAMINE
0.2mg/kg
IM/IN/IV/IO
No repeat dose
***NOT TO BE USED
FOR CHEST PAIN/
SUSPECTED ACS or
STEMI protocols***
MORPHINE
0.1 mg/kg
IM/IV;
max single dose
10 mg
May repeat dose
q 10 min
after the first
until pain relieved
or respiratory
depression occurs
FENTANYL
1.0 mcg/kg
IN/IM/IV;
max single dose
100 mcg
May repeat dose
after 10 minutes
HYDROMORPHONE
0.01 mg/kg
IM/IV;
max single dose
1.0 mg
May repeat dose
after 10 minutes
For nausea/vomiting after
pain medication consider:
ONDANSETRON
4.0 mg ODT/IM/IV/OI
or
DROPERIDOL
1.25 mg IM/IV/IO
or
METOCLOPRAMIDE
10mg slow IV bolus over 1-2 minutes or IM
or
PROCHLORPERAZINE
Up to 10mg IV/IM/IO
☎
Contact Medical Control
for additional doses