Pain

Question 1

Fentanyl (Pain)

Answer 1

• IV/IO: 1-3 mcg/kg (max single dose 200 mcg) q 5-10min
• IN: 1-3 mcg/kg q 5-10 min
• IM: 100 mcg q 1 hr PRN
• Continuous infusion: 25-300 mcg/hr
  Mix 300 mcg in 100 mL of
  NS (3mcg/ml)

Question 2

Morphine (Pain)

Answer 2

• IV/IO: 2-5 mg q 15-20 min
• IM: 2-10 mg once for pain

Question 3

Ketamine (Pain)

Answer 3

• IV/IO/IM/IN: 0.15-0.3 mg/kg q 5-10 min
• Consider Atropine 0.4 mg IV for hypersecretion
• Continuous infusion: 0.1-0.2 mg/kg/hr (Transports > 30 mins)
  *Mix 500 mg in 100 mL NS (5 mg/ml)

Question 4

Tylenol (Pain)

Answer 4

1000 mg IV over 15 min once. May use for mild/moderate pain

Question 5

Pain s/p IO Infusion

Answer 5

IO: Lidocaine 2% (cardiac bristojet) 20–40 mg IO Slowly over 2-3 minutes

Question 6

Pain w/ IV insertion (Adult/Peds)

Answer 6

Intradermal: 0.2 mL or less of 2% lidocaine

Question 7

Peds Fentanyl (Pain)

Answer 7

IV/IO/IN: 0.1-1 mcg/kg q 5-10 min

Question 8

Peds Morphine (Pain)

Answer 8

IV/IO: 0.1 mg/kg q 10 min

Question 9

Peds Ketamine (Pain)

Answer 9

IV/IO/IM: 0.15-0.3 mg/kg q 5-10 min
Consider Atropine 0.01 mg/kg IV/IO (min 0.1 mg, max 0.4 mg)

Question 10

Peds Tylenol (Pain)

Answer 10

Children >2yo: 15 mg/kg IV over 15 minutes once

Question 11

Pain s/p IO infusion

Answer 11

IO: Lidocaine 2% 0.5-1 mg/kg, not to exceed 30 mg