IBUPROFEN

Question 1

IBUPROFEN

CLASS/ACTION:

Answer 1

CLASS:

Non-Selective COX Inhibitor

ACTION:

• Analgesic effective for mild to moderate pain. • Additionally has anti-pyretic and anti-inflammatory properties.

Question 2

IBUPROFEN

INDICATIONS:

Answer 2

INDICATIONS:

• Management of acute mild to moderate pain as described by patients as a pain score of 6 or less.

Question 3

IBUPROFEN

CONTRAINDICATIONS:

Answer 3

CONTRAINDICATIONS:

• Known allergy or hypersensitivity to NSAIDS
• Acute significant trauma (see notes) • Acute neurologic symptoms (including focal weakness, paresthesia or other stroke symptoms)
• Hemophilia
• Pregnant or high possibility of pregnancy as reported by patient
• History of GI bleeding or ulcers
• Current aspirin or anticoagulation therapy
• History of renal disease, or kidney transplant
• Age < 6 months

Question 4

IBUPROFEN

POTENTIAL SIDE EFFECTS:

Answer 4

POTENTIAL SIDE EFFECTS:

• Nausea
• Upset stomach
• Rash
• Headache
• Hypertension
• GI bleed

Question 5

IBUPROFEN

ADULT DOSE/ROUTE:

Answer 5

ADULT DOSE/ROUTE:

⇒ 400 mg PO x 1 dose.

Question 6

IBUPROFEN

PEDIATRIC DOSE/ROUTE:

Answer 6

PEDIATRIC DOSE/ROUTE:

⇒ 10 mg/kg PO up to 400 mg total dose.

Question 7

IBUPROFEN

NOTES:

Answer 7

NOTES:

• The median onset of pain relief with ibuprofen is approximately 25 minutes. • Ibuprofen will not interact with IV/IO/IN opiate analgesics such as fentanyl if additional pain control is needed.
• Ibuprofen administration in combination with alcohol use may increase risk of GI bleeding.
• Significant trauma consists of injuries that would require trauma center destination criteria, or those as a result of which the paramedic is concerned for internal/difficult to control hemorrhage.