Analgesia Medical Directive

Question 1

Analgesia MD

What are the indications for the analgesia MD?

Answer 1

Pain

Question 2

Analgesia MD

What are the conditions for acetaminophen administration?

Answer 2

Age: ≥12 years
LOA: Unaltered

Question 3

Analgesia MD

What are the conditions for Ibuprofen administration?

Answer 3

Age: ≥12 years
LOA: Unaltered

Question 4

Analgesia MD

What are the conditions for Ketorolac administration?

Answer 4

Age: ≥12 years
LOA: Unaltered
SBP: Normotension

Question 5

Analgesia MD

What are the contraindications for acetaminophen administration?

Answer 5

Acetaminophen use within the previous 4 hours
Allergy or sensitivity to acetaminophen
Hx of liver disease
Active vomiting
Unable to tolerate oral medication
Suspected ischemic chest pain

Question 6

Analgesia MD

What are the contraindications for ibuprofen administration?

Answer 6

NSAID use within the previous 6 hours
Allergy or sensitivity to ASA or NSAIDs
Patient on anticoagulation therapy
Current active bleeding
Hx of peptic ulcer disease or GI bleed
Pregnant
If asthmatic, no prior use of ASA or other NSAIDs
CVA or TBI in the previous 24 hours
Known renal impairment
Active vomiting
Unable to tolerate oral medication
Suspected ischemic chest pain

Question 7

Analgesia MD

What are the contraindications for ketorolac administration?

Answer 7

NSAID use within the previous 6 hours
Allergy or sensitivity to ASA or NSAIDs
Patient on anticoagulation therapy
Current active bleeding
Hx of peptic ulcer disease or GI bleed
Pregnant
If asthmatic, no prior use of ASA or other NSAIDs
CVA or TBI in the previous 24 hours
Known renal impairment
Suspected ischemic chest pain

Question 8

Analgesia MD

What is the dose of acetaminophen for patients ≥12 years to <18 years?

Answer 8

PO, 500-650 mg, once.

Question 9

Analgesia MD

What is the dose of acetaminophen for patients ≥18 years?

Answer 9

PO, 960-1000 mg, once.

Question 10

Analgesia MD

What is the dose of ibuprofen for patients ≥12 years?

Answer 10

PO, 400 mg, once.

Question 11

Analgesia MD

What is the dose for ketorolac for patients ≥12 years?

Answer 11

IM/IV, 10-15 mg, once.

Question 12

Analgesia MD

What medications should suspected renal colic patients be considered for?

Answer 12

Suspected renal colic patients should routinely be considered for NSAIDs, either ibuprofen or ketorolac.

Question 13

Analgesia MD

Should you co-administer acetaminophen and ibuprofen?

Answer 13

Yes.