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+--- Thread: CCS pain management-- sami / anyone ? - rotors (/showthread.php?tid=601909)
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CCS pain management-- sami / anyone ? - rotors - ArchivalUser - 07-26-2011
how do we decide to choose any pain meds in morphine or NSAIDs or or ketorolac percocet etc
what to give in kids in emerdgtency case eg 10 mth old with intussusception
0 - ArchivalUser - 07-26-2011
next question ...
do we always do blood cultures two times or only in IE cases ??
in the software how much time apart do we order .. ?
0 - ArchivalUser - 07-26-2011
General approach
if pain is inflammatory use nsaids/ketorolac, if nsaid is contraindicated, use steriods
for cancer pain, use opiods, if metastasis, use steriods
for severe pain like colicky you can use morphine
in acute crisis (children) you can give one time morphine
0 - ArchivalUser - 07-26-2011
thank you
also , what ant the blood cultures order two times .. how much apart ? and is it in all cases of fever ?
0 - ArchivalUser - 07-26-2011
ALWAYS DO BLOOD CULTURE 2X EXCEPT FOR IE U DO IT 3X TIMES
0 - ArchivalUser - 07-26-2011
3 set of blood cultures should be done 30-60 apart before antibiotics in infective endocarditis. dont give antibiotic till u finish collectiong 3rd set.
In all other cases like sepsis, 2 blood cultures are ok and collection can be done 15- 30 mins apart.
0 - ArchivalUser - 07-26-2011
thank you
how do we order MDI in CCS ?
0 - ArchivalUser - 07-26-2011
I THINK THERE IS NO ORDER FOR MDI
0 - ArchivalUser - 07-26-2011
ya.. i could not find it too. so for COPD patients or asthma patients on disharge .. how should we give albuterol or ipratropium inhaler ..i dont understand
and is it possible to order medications on PRN basis ? dont think we will be able to do that .
thanx loads for your instant replies sami
u re great !
0 - ArchivalUser - 07-26-2011
sami one more ques ..
what are the medications that need to be cancelled when we are admitting a patient
eg.. metformin cancel and change to sliding insulin scale !!
what else .. there must be many .. can u plz list them
thank u
xam in 10 days !! so panicking a bit !!