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Pain Management - Coggle Diagram
Pain Management
Patient Controlled analgesia
Definition
Electronically controlled infusion pump that delivers a ser amount of IV opiod to the patient when they press a button. Set lock out period and 4 hr max dose is programmed
Determining suitatbility
Considerations
Age >!6
Ptatient cognitive status
Healthcare literacy
Physical disabilities
FAsting status
Contraindications
PT refusal
Opiod allergy
Compartment syndrome risk
Medications
Morphine / Oxycodone standard
Morphine / oxycodone higher
Morphin / oxycodone double
Morphine / oxycodone lower
1st line morphine
Cheaper
longer shelf life
FEntanyl standard
Fentanyl Lower
Patient Controlled Epidural
Protocols
H
Fent / bupivacaine max 70mg/70ml
I
Fent / bupivacaine 90mg / 90ml
J
Plain buvicane
K
Plain bupivicaine no lockout period
Bromage SCore Motor Blockade
Complications
Complete motor block / increasing leg weakness
Resp depression
Bradycardia
Hyptonesion
Pain Management Ladder
Step 1
REgional
PCA/CEA
Sterp 2
Weak opiods
Peripheral Nerve Block