Analgesic Regimens

Mild to moderate pain:

Acetaminophen with codeine

• Dose based on codeine—children: 1 mg/kg per dose every 6 hours; adults: 30-60 mg/dose

Hydrocodone + acetaminophen:

• Dose based on hydrocodone—children: 0.2 mg/kg per dose every 6 hours; adults: 5-10 mg/dose

Anti-inflammatory agents

• Use with caution in patients with renal failure (dehydration) and bleeding

• Ibuprofen: children: 10 mg/kg every 6-8 hours; adults: 200-400 mg/dose

• Naproxen: 5 mg/kg every 12 hours; adults: 250-500 mg/dose

• Ibuprofen + hydrocodone: Each tablet contains 200 mg ibuprofen and 7.5 mg hy-drocodone per tablet; only for older children who can swallow tablets

Moderate to severe pain:

Morphine—children: 0.1-0.15 mg/kg per dose every 3-4 hours; adults: 5-10 mg/ dose

• Continuous infusion: 0.04-0.05 mg/kg/h; titrate to effect

Hydromorphone—children: 0.015 mg/kg per dose every 3-4 hours; adults: 1.5-2 mg/dose

• Continuous infusion: 0.004 mg/kg/h; titrate to effect IV anti-inflammatory agents:

• Ketorolac: 0.5 mg/kg up to 30 mg/dose every 6 hours Patient-controlled analgesics:

• Morphine: 0.01-0.03 mg/kg/h basal; demand 0.01-0.03 mg/kg every 6-10 minutes; 4 hours lockout 0.04-0.06 mg/kg

• Hydromorphone: 0.003-0.005 mg/kg/h basal; demand 0.003-0.05 mg/kg every 6-10 minutes; 4 hours lock out 0.4-0.6 mg/kg

Stop Headache Drug Free

Stop Headache Drug Free

If you are suffering from headaches, you can make the pain stop just by following some basic but little known principles. Take 15 minutes browsing through this guide and you'll find dozens of tips to gain control in the battle against headache pain.

Get My Free Audio Book


Post a comment