Quality Of Pain Case Study
Pain
Questions to ask: Where? When did it start? Quality? Quantity? Duration? Inciting event? Was it present on admission? What did they get for pain already? Did the pain improve with medication? Allergies to pain medications? If headache, chest or abdominal pain is present, refer to the respective sections for further questions.
Rule out: Sudden acuity of worsening pain. Refer to the respective sections for headache, chest or abdominal pain.
What to order:
Depend on which area is hurting. Consider imaging if acute change in quality or quantity of pain from admission.
Management:
PO non-opiates:
- Tylenol 325mg: 1-2 tabs Q6H prn(max 3g/day if normal hepatic function)
- Ibuprofen 400mg: 1 tab Q4-6H prn (give with food & consider PPI, …show more content…
Start low and increase slowly, especially in elderly (<50kg) b Start these patients on docusate 100mg BID to prevent constipation if you think they will be using it very
Questions to ask: Where? When did it start? Quality? Quantity? Duration? Inciting event? Was it present on admission? What did they get for pain already? Did the pain improve with medication? Allergies to pain medications? If headache, chest or abdominal pain is present, refer to the respective sections for further questions.
Rule out: Sudden acuity of worsening pain. Refer to the respective sections for headache, chest or abdominal pain.
What to order:
Depend on which area is hurting. Consider imaging if acute change in quality or quantity of pain from admission.
Management:
PO non-opiates:
- Tylenol 325mg: 1-2 tabs Q6H prn(max 3g/day if normal hepatic function)
- Ibuprofen 400mg: 1 tab Q4-6H prn (give with food & consider PPI, …show more content…
Start low and increase slowly, especially in elderly (<50kg) b Start these patients on docusate 100mg BID to prevent constipation if you think they will be using it very