Pediatric Pain Management

Question 1

At what age do you use the FLACC scale to measure pain?

Answer 1

You use it for kids

Question 2

Describe a pain control used in neonatals.

Answer 2

24% solution of sucrose
This provides a release of endorphins. You can use this before a painful procedure such as circumcision and venipunture.

Question 3

What are the Six Rules for Pain Management of the Pediatric Patient?

Answer 3

1. Know the onset of action of the drug.
2. Know when the peak effect will occur and be ready to monitor.
3. Know the duration of action of the drug.
4. Calculate equipotent doses based on the patient’s requirement and adjust.
5. Expect and anticipate tolerance: switch or increase the dose.
6. Angel of Mercy Rule: if on narcotics >24 hours, start an osmotically active laxative.

Question 4

Describe Ketorolac.

Answer 4

NSAID used for short term (for up to 5 days) in management of moderate to severe pain

At equianalgesic doses it is considere to have less post-op N/V than morphine.