Acute Pain in pediatrics

Question 1

How do you evaluate a patient experiencing pediatric pain

Answer 1

• 1. recognize the patient is in pain

2. determine underlying source/location and severity ( SCHOLAR)
3. Trailor treatment to level and type

Question 2

How do you assess pain in non verbal children (<3 y/o)

Answer 2

FLACC scale

Face, Legs, Activity, Cry, Consolability

*using motor responses, vocalization, facial expressions to evaluate and assess pain

Question 3

Pain assessment in children 3-8 y/o

Answer 3

• use face pain scale (0-10 w/ corresponding images)
• visual analog scales (colour analogue scale where red would be much pain)

Question 4

pain assessemnt in odler children 8-11 y/o

Answer 4

• use a numeric scale of 1-10

(0-3 = mild, 4-6 = moderate, 7-10 = severe)

Question 5

what are the goals of therapy for treatment of pediatric pain?

Answer 5

1. Relieve pain until cause is managed
2. identify and treat cause of pain
3. if possible, prevent the pain from progressing

Question 6

what are the non pharmacological strategies for pain treatment in pediatrics?

Answer 6

Question 7

What are the therapeutic tips for pain management?

Answer 7

• from newborn -> children can experience pain
• chose medicationa nd route of admin according to severity and desired onset and duration of action
• use oral analgesics when possible to avoid painful routes of admin
• consider hepatic and renal function when selecting an analgesic

*ex: dont give ibuprofen when dehydrated

• wait 1-2 h after giving analgesic to see if it is working

Question 8

Monitoring and Follow up for Pain releif and side effects

• desired outcome

Time from ofr degree of change

patient to monitor

RPh to Monitor and Follow-Up

Answer 8