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Analgesia Policy

From Dr. Hill:

Below is the most important clip from this policy. Starting doses of opiate pain meds are LIMITED BY POLICY. If you give more than the recommended you have to document a rationale. Please adhere to the policy. Analgesia will be tailored for the patient’s pain, see Appendix 2 and 3 of policy below.

  • The recommended initial dose of intravenous morphine in adults is 4 mg (0.05-0.1 mg/kg/dose in pediatrics); up to 10 mg can be given in patients who have chronic pain
  • The recommended initial dose of intravenous hydromorphone is 0.5 mg (0.015mg/kg/dose in pediatrics) up to 1.4 mg in patients who have chronic pain
  • Patients receiving greater than an initial dose of 10 mg of morphine or 1.4 mg of hydromorphone should have a “clinical decision” note entered on the chart and consideration given to contacting the pain service
  • Repeat dosing of morphine or hydromorphone should not be more frequent than every 30 minutes; when given more frequently a “clinical decision” note should be entered on the chart
  • Patients requiring more than three doses of intravenous pain medications in a 3 hour period should be considered for a Pain Service consult

pain-management policy

Written by phil

March 24th, 2010 at 3:47 pm

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