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5 Cards in this Set

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SN

-Pain score >2/10 requires intervention if chest pain then aim for 0/10 and follow ACS CPG


-Methoxyflurane and IN Fentanyl CI


-be cautious using Morphine and Fentanyl

Non IV therapy

Assess frailty or weight <60kg


FRAIL


- fentanyl 100mcg IN


-repeat up to 50mcg IN @ 5/60 titrated to pain or SE max 200mcg


Not frail


-fentanyl 200mcg IN


-repeat up to 50mcg IN @ 5/60 titrated to pain and SE max 400mcg


Unable to give IN fentanyl


-Methoxyflurane 3mL


-repeat methoxyflurane 3/mL PRN max 6ML

Opioid IV therapy

-up to 5mg Morphine IV and flush


-repeat up to 5mg Morphine IV and flush @ 5/60 titrate -max 20mg



Opioid non IV therapy

>60kg


-10mg Morphine IM


-repeat 5mg Morphine @15/60 once only


<60


-0.1mg/kg Morphine IM single dose only/consult

IV therapy if allergic to Morphine

-fentanyl 25-50mcg IV and flush


-repeat fentanyl 25-50mcg IV and flush @5/60 titrated


-max 200mcg