Post-Op Analgesia Flashcards
pain score = 0
no pain at rest or at movement
pain score = 1
no pain at rest, slight at movement
pain score = 2
intermittent at rest, moderate on movement
pain score = 3
continuous at rest, severe on movement
step one on who pain ladder
non opioid with/ without adjuvant analgesic ie regular paracetamol
good for pain score 0-1
what is step two on who pain ladder
opiate for mild to moderate pain plus non opioidal with or without adjuvant analgesic eg paracetamol and codeine good for pain score 2
what is step three on who pain ladder
opioid for moderate to severe pain
plus non opioid
with/without adjuvant analgesic
eg paracetamol and morphine
what is the standard pca prescription
1mg morphine bolus with a 5 minute lockout
how do you convert oral morphine to oral oxycodone
divide by 2
how do you calculate the breakthrough dose~?
a sixth of teh total daily dose