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Overall Pain Management Approach

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Created on November 21, 2024

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Transcript

Present in labor requesting something for pain.

Consider either full agonist opioid (NO nalbuphine or butorphanol) OR Offer regional analgesia (expect good response to initial placement; may need additional boluses)

Vaginal birth

Cesarean birth

After 24 hrs: increased potency short-acting opioid (hydromorphone) with 50-70% increased dose (4-6 mg po q4-6 hrs); duration of treatment similar

Routine postpartum orders with prn opioid analgesics x24 hrs

First 24 hrs: anticipate increased needs, consider morphine or hydromorphone PCS; consider PCEA; consider TAP if your anesthesia department does them