Management of acute pain

Question 1

How should you give IV morphine?

Answer 1

10mg in 10ml of saline. E.g. 1mg per ml.

Give 1-2mg boluses and titration up to effect.

Question 2

Dose of paracetamol?

Answer 2

1g QDS.

Question 3

What weight do u need to adjust for with paracetamol?

Answer 3

< 50kg.

Question 4

NSAID contracinidation?

Answer 4

Coagulopathy
Current or hx of GI bleed
Renal impairment,

Question 5

Name a few weak opiates?

Answer 5

Codeine
Tramadol
Dihydrocodeine.

Question 6

Name 2 strong opiates?

Answer 6

Morphine

Oxycodone.

Question 7

How do you convert oral codeine to oral morphione?

Answer 7

Divide by 10.

Question 8

How do you convert oral tramadol to oral morphine?

Answer 8

Divide by 10.

Question 9

What is the breakthrough dose?

Answer 9

1/6

Question 10

What is the sub cut breakthrough dose?

Answer 10

Half the oral dose.

Question 11

How do you convert oral morphine to sc/IV morphione?

Answer 11

Half the dose

Question 12

How do convert oral oxycodone to sc oxycodone?

Answer 12

Half the dose.

Question 13

1mg alfentanyl (always SC) is qual to what dose of oral morphione?

Answer 13

30mg.

Question 14

Oral morphine to oral oxycodone?

Answer 14

Half the dose.

Question 15

Nefopam to oral morphine?

Answer 15

Divide by 3.

Question 16

What is good about nefopam?

Answer 16

It is a non-opioid that has much less abuse potential.

Question 17

If going to be on an opioid for >24rs what should you co prescribe?

Answer 17

Co-prescribe an anti-emetic and a laxative.

E.g. Cylizine and senna.

Question 18

Oral morphine to s/c dimorphine?

Answer 18

Divide by 3