Pain Management

Question 1

For adult pain managment, what is the first line of interventions for managing pain that is <4?

Answer 1

• Cold Pack/Position of Comfort
• 500mg - 1g PO Acetamenophen

Question 2

For adult pain managment of a pt with a pain score of > 4 what are the two medications available to administered be during transport?

Answer 2

• 0.25mcg/kg - 1mcg/kg IVP Fentanyl q 5-10 minutes for a max dose or 300mcg
• 2-5mg IVP Morphine q 5 minutes for a max dose of 30mg

Question 3

If pain remains > 4 in adults after administration of one of the two opioid pain medications during transport, what is the next line drug and dose to manage pain?

Answer 3

0.1 - 0.3mg/kg IVP Ketamine q PRN
can be infused over 10 minutes

Question 4

What are the two non-opioid medications and doses utilized for pain management in Adults during transport.

Answer 4

• 500mg - 1g PO Acetamenophen
• 30mg IVP Ketorolac q 6 hours
  only for patients < 65 years of age

Question 5

In a pediatric pt with a pain score of < 4 what is the first line of interventions, medication and dose?

Answer 5

• Ice Pack/Position of comfort
• 15mg/kg PO Acetamenophen (Max of 1g)

Question 6

In a pediatric pt with a pain score of > 4 what are the available drugs and doses to manage the pt?

Answer 6

• 0.5mg/kg IVP Ketorolac (Max Dose: 30mg)
• 1-2 mcg/kg IVP Fentanyl q 10 minutes, max single dose of 50mcg, a total dose maximum of 200mcg
• 0.1 - 0.2 mg/kg IVP Morphine q 5-15 minutes, max dose 5mg

Question 7

If after administration of opioid pain medication in a pediatric pt and pain is still > 4, what medication and dose rate can you administer?

Answer 7

• 0.1 - 0.3 mg/kg IVP Ketamine q PRN
  can be infused over 10 minutes