Analgesia and Sedation - Revision history

Jonesk: /* 2.04 ANALGESIA/SEDATION */

2026-03-30T17:45:01Z

2.04 ANALGESIA/SEDATION

← Older revision		Revision as of 17:45, 30 March 2026
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN, titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN ~~every 20 seconds~~ titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN, titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status

Jonesk: /* 2.04 ANALGESIA/SEDATION */

2026-03-26T19:52:18Z

2.04 ANALGESIA/SEDATION

← Older revision		Revision as of 19:52, 26 March 2026
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN ~~every 20 seconds~~ titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain

Treloars at 14:41, 14 December 2020

2020-12-14T14:41:14Z

← Older revision		Revision as of 14:41, 14 December 2020
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN every 20 seconds titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN every 20 seconds titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status

Treloars at 14:36, 14 December 2020

2020-12-14T14:36:51Z

← Older revision		Revision as of 14:36, 14 December 2020
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
			* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status

Treloars: /* 2.04 ANALGESIA/SEDATION */

2020-12-14T14:33:10Z

2.04 ANALGESIA/SEDATION

← Older revision		Revision as of 14:33, 14 December 2020
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	* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered
	'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''		'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''
	* [[Ketamine\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
	Note: Morphine should be considered first for combative head injury and suspected MI.		Note: Morphine should be considered first for combative head injury and suspected MI.
	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
			* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain

Treloars at 13:55, 24 April 2020

2020-04-24T13:55:59Z

Treloars at 20:59, 22 April 2020

2020-04-22T20:59:08Z

← Older revision		Revision as of 20:59, 22 April 2020
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	* These drugs may be given in combination for maximum effectiveness.		* These drugs may be given in combination for maximum effectiveness.
	* Ensure that Pulse Oximeter is in place.		* Ensure that Pulse Oximeter is in place.
	* Ensure that BVM, [[~~Antagonists~~\|FLUMAZENIL (ROMAZICON)]] and/or [[~~Antagonists~~\|NALOXONE (NARCAN)]] are readily available.		* Ensure that BVM, [[Flumazenil\|FLUMAZENIL (ROMAZICON)]] and/or [[Naloxone\|NALOXONE (NARCAN)]] are readily available.

	[[Category:Primary Care\|0204]]		[[Category:Primary Care\|0204]]

Treloars at 20:29, 22 April 2020

2020-04-22T20:29:50Z

← Older revision		Revision as of 20:29, 22 April 2020
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	* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered
	'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''		'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''
	* [[~~Anesthetics~~\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose		* [[Ketamine\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
	Note: Morphine should be considered first for combative head injury and suspected MI.		Note: Morphine should be considered first for combative head injury and suspected MI.

Treloars at 20:15, 22 April 2020

2020-04-22T20:15:48Z

Treloars at 19:40, 28 February 2018

2018-02-28T19:40:17Z

← Older revision		Revision as of 19:40, 28 February 2018
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	* If the pain is still significant (6 or greater) and the patient does not have a contraindication then follow the guidelines below.		* If the pain is still significant (6 or greater) and the patient does not have a contraindication then follow the guidelines below.
	* Vital signs are to be taken before and after the administration of the medication. Appropriate documentation is expected.		* Vital signs are to be taken before and after the administration of the medication. Appropriate documentation is expected.
			* Patient's will be continuously monitored while they are under the influence of one of these medications. This will include at a minimum vital signs every 5 minutes and pulse oximetry.
	'''[[Chest Pain Acute Coronary Syndrome\|ANGINA / MYOCARDIAL INFARCTION]]:'''		'''[[Chest Pain Acute Coronary Syndrome\|ANGINA / MYOCARDIAL INFARCTION]]:'''
	* [[Analgesics\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.		* [[Analgesics\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.

← Older revision		Revision as of 17:45, 30 March 2026
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN, titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN ~~every 20 seconds~~ titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN, titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status

← Older revision		Revision as of 19:52, 26 March 2026
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN ~~every 20 seconds~~ titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain

← Older revision		Revision as of 14:41, 14 December 2020
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN every 20 seconds titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.		* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN every 20 seconds titrated to effect OR 1-2 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status

← Older revision		Revision as of 14:36, 14 December 2020
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	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
			* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status

← Older revision		Revision as of 14:33, 14 December 2020
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	* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered
	'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''		'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''
	* [[Ketamine\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
	Note: Morphine should be considered first for combative head injury and suspected MI.		Note: Morphine should be considered first for combative head injury and suspected MI.
	* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
			* [[Ketamine\|KETAMINE (KETALAR)]] 0.5 mg/kg IVP or IN OR 1 mg/kg IM x 1 dose - Remember that Ketamine is not reversible and may mask changes in patient condition.
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain

← Older revision		Revision as of 13:55, 24 April 2020
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	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
	'''ANXIETY:'''		'''ANXIETY:'''
	* [[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
	'''[[Burns - Thermal, Electrical, Chemical\|BURNS]]: (with moderate to severe pain)'''		'''[[Burns - Thermal, Electrical, Chemical\|BURNS]]: (with moderate to severe pain)'''
	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.
	* [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered
	'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''		'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''
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	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
	Note: Morphine should be considered first for combative head injury and suspected MI.		Note: Morphine should be considered first for combative head injury and suspected MI.
	* [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
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	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
	* [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status
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	* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
	* [[Morphine_Sulfate\|MORPHINE SULFATE]], 0.1 mg/kg titrate small increments every 20-30 seconds for effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]], 0.1 mg/kg titrate small increments every 20-30 seconds for effect
	* [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]], 0.1 mg/kg refer to Handtevy System for dosage		* [[Versed\|MIDAZOLAM (VERSED)]], 0.1 mg/kg refer to Handtevy System for dosage
	'''PROCEDURAL SEDATION: Cardioversion, Pacing, Intubation'''		'''PROCEDURAL SEDATION: Cardioversion, Pacing, Intubation'''
	* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
	* [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Versed\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[~~Sedative Hypnotics~~\|DIAZEPAM (VALIUM)]] 2 - 5 mg SLOW IVP to desired effect		* [[Valium\|DIAZEPAM (VALIUM)]] 2 - 5 mg SLOW IVP to desired effect

	'''THE ABOVE MEDICATIONS MAY ALL CAUSE A DECREASED LOC AND COULD COMPROMISE A PATIENT’S AIRWAY. JUDICIOUS USE IS A MUST! ALLOW AMPLE TIME FOR EACH DOSE TO TAKE EFFECT PRIOR TO ANY ADDITIONAL DOSES BEING ADMINISTERED.'''		'''THE ABOVE MEDICATIONS MAY ALL CAUSE A DECREASED LOC AND COULD COMPROMISE A PATIENT’S AIRWAY. JUDICIOUS USE IS A MUST! ALLOW AMPLE TIME FOR EACH DOSE TO TAKE EFFECT PRIOR TO ANY ADDITIONAL DOSES BEING ADMINISTERED.'''

← Older revision		Revision as of 20:15, 22 April 2020
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	* Patient's will be continuously monitored while they are under the influence of one of these medications. This will include at a minimum vital signs every 5 minutes and pulse oximetry.		* Patient's will be continuously monitored while they are under the influence of one of these medications. This will include at a minimum vital signs every 5 minutes and pulse oximetry.
	'''[[Chest Pain Acute Coronary Syndrome\|ANGINA / MYOCARDIAL INFARCTION]]:'''		'''[[Chest Pain Acute Coronary Syndrome\|ANGINA / MYOCARDIAL INFARCTION]]:'''
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
	* NOTE: [[~~Analgesics~~\|MORPHINE SULFATE]] is the preferred treatment of choice, if allergic to MS continue to the following:		* NOTE: [[Morphine_Sulfate\|MORPHINE SULFATE]] is the preferred treatment of choice, if allergic to MS continue to the following:
	* [[~~Analgesics~~\|NITROUS OXIDE]] self-administered as needed for pain.		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered as needed for pain.
	'''[[Acute Abdominal Pain\|ACUTE ABDOMINAL PAIN]]:'''		'''[[Acute Abdominal Pain\|ACUTE ABDOMINAL PAIN]]:'''
	* [[~~Analgesics~~\|NITROUS OXIDE]] self-administered.		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered.
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect.
	'''ANXIETY:'''		'''ANXIETY:'''
	* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.		* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
	'''[[Burns - Thermal, Electrical, Chemical\|BURNS]]: (with moderate to severe pain)'''		'''[[Burns - Thermal, Electrical, Chemical\|BURNS]]: (with moderate to severe pain)'''
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect.
	* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.		* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect.
	* [[~~Analgesics~~\|NITROUS OXIDE]] self-administered		* [[Nitrous_Oxide\|NITROUS OXIDE]] self-administered
	'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''		'''COMBATIVE POST RESUSCITATION / [[Head Injuries\|HEAD INJURY]]:'''
	* [[Anesthetics\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose		* [[Anesthetics\|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV or IN, titrated to effect
	Note: Morphine should be considered first for combative head injury and suspected MI.		Note: Morphine should be considered first for combative head injury and suspected MI.
	* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect		* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV or IN, titrated to effect
	* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	'''[[Cold Emergencies\|FROST BITE]]:'''		'''[[Cold Emergencies\|FROST BITE]]:'''
	* [[~~Analgesics~~\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
	'''MUSCULOSKELETAL PAIN / [[Extremity Injuries\|EXTREMITY PAIN]]:'''		'''MUSCULOSKELETAL PAIN / [[Extremity Injuries\|EXTREMITY PAIN]]:'''
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
	* [[~~Analgesics~~\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
	* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect		* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP titrated to effect
	'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''		'''FLANK PAIN/[[Suspected Kidney Stone\|SUSPECTED KIDNEY STONES]]:'''
	* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status		* TORADOL (KETOROLAC) 15mg – 30mg IV depending on hydration status
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2-20mg IV, IO or IN titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2-20mg IV, IO or IN titrated to effect
	'''[[Sickle Cell Anemia Crisis\|SICKLE CELL ANEMIA CRISIS]]:'''		'''[[Sickle Cell Anemia Crisis\|SICKLE CELL ANEMIA CRISIS]]:'''
	* [[~~Analgesics~~\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
	'''PEDIATRIC PATIENTS:'''		'''PEDIATRIC PATIENTS:'''
	* [[~~Analgesics~~\|NITROUS OXIDE]] self administered, as needed for pain		* [[Nitrous_Oxide\|NITROUS OXIDE]] self administered, as needed for pain
	* [[~~Analgesics~~\|MORPHINE SULFATE]], 0.1 mg/kg titrate small increments every 20-30 seconds for effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]], 0.1 mg/kg titrate small increments every 20-30 seconds for effect
	* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]], 0.1 mg/kg refer to Handtevy System for dosage		* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]], 0.1 mg/kg refer to Handtevy System for dosage
	'''PROCEDURAL SEDATION: Cardioversion, Pacing, Intubation'''		'''PROCEDURAL SEDATION: Cardioversion, Pacing, Intubation'''
	* [[~~Analgesics~~\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect		* [[Morphine_Sulfate\|MORPHINE SULFATE]] 2 - 20 mg IV, IO or IN, titrated to effect
	* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect		* [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 2 - 10 mg IV, IO or IN, titrated to effect
	* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 5 mg SLOW IVP to desired effect		* [[Sedative Hypnotics\|DIAZEPAM (VALIUM)]] 2 - 5 mg SLOW IVP to desired effect