CPG - Pain relief

Question 1

what is the paediatric formula for paracetamol?

Answer 1

15mg/kg

based on 120mg bottle in 5mL

Question 2

what is the treatment for paed mild pain?

Answer 2

paracetamol 15mg/kg

Question 3

What is treatment for paed moderate pain?

Answer 3

Fent IN

• small child (10-17kg): 25mcg
• medium child (18-39kg): 25-50mcg

-> repeat @5-10
consult after 3 doses

-> consult RCH in kids under 10kg

UNABLE TO ADMINSTER FENT
-> methoxy 3mL max 6

Question 4

What is treatment for paed severe pain?

Answer 4

same as moderate.

Question 5

what is the treatment for adult mild pain?

Answer 5

paracetamol 1000 mg oral

OR

500mg oral if frail

Question 6

what is the treatment for adult moderate pain?

Answer 6

IV ACCESS:
- morph 5mg IV
rpt 5mg @5min
max 20

OR

• Fent 50mcg IV
  rpt 50mcg @ 5 min
  max 200mcg

NO IV ACCESS:
- fent IN 200mcg
rpt 50mcg IN @ 5 mins
max 400mcg

• if frail
  fent IN 100mcg
  rpt 50mcg @ 5 min
  max 200

NO OPIODS
- methoxy 3ml max 6

Question 7

what is the treatment for adult severe pain?

Answer 7

IV OR IN morph or fent as per moderate

Consult for Ketamine in extreme traumatic pain

Consider Morph IM as last resort
->10mg IM
rpt 5mg after 15

Frail - 0.1mg/kg IM single dose