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Annual ed pain mgt.clin staff.09.10Presentation Transcript
What Is Pain ? Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms such as damage. *International Association for the Study of Pain
Can be highly effective but reaches limits on maximum effects (“ceiling effect”)
Can be given concurrently with narcotics for additive analgesic
Prolonged bleeding time
GI effects more common in the elderly from NSAIDS
Decreased renal blood flow & fluid retention
Liver injury if over used
Opioids have analgesic activity that is mainly mediated in the
Typically used to manage severe acute pain and chronic pain that
No ceiling effect
No ceiling dose
Duration of analgesia varies from drug to drug
30 mg. Of Morphine is the “standard” for comparison
Caution in elderly or patients with renal insufficiency
Poorly absorbed through GI tract. Oral dose = 1/2 effectiveness
Demerol is a Dinosaur
Alternatives to Demerol
Remind the physician of the hospital’s initiative to reduce the use of Demerol if it is more than just a one time order.
Ask physician if there is a another medication we can use in place of Demerol.
Be a patient advocate. Ask the patient what has relieved their pain in the past.
Try alternatives to pain medication as discussed earlier.
You’re Important Unrelieved pain has devastating effects on your patients. By being watchful for possible signs of pain & helping the pt. to receive quick & effective treatment , you have greatly improved that patient’s health & quality of life. You’re The Best You Can Make a Difference