Read e-book online Acute Pain Management: A Practical Guide PDF

By Pamela E. Macintyre

ISBN-10: 1482233495

ISBN-13: 9781482233490

Highly recommended, BMA clinical publication Awards 2015

Comprehensive acute ache administration not potential purely taking care of sufferers with discomfort caused by postoperative and trauma-related causes―it now contains dealing with sufferers with acute soreness coming up from a large choice of stipulations.

Acute soreness administration: a realistic Guide

offers well-being execs with uncomplicated and sensible details to assist them deal with sufferers with acute soreness thoroughly and successfully. The publication additionally is helping them to spot and deal with acute discomfort in additional advanced sufferers, for whom powerful therapy will be challenging.

In this new version, chapters were revised and up-to-date, usually commonly, to mirror present wisdom and perform. This source will surely be priceless to various pros in assessing and coping with acute ache.

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Extra info for Acute Pain Management: A Practical Guide

Example text

Au/­ resources/­books-­and-­publications. Accessed October 2013. Royal College of Anaesthetists 1. Epidurals for Pain Relief after Surgery (2008). ­pdf. Accessed October 2013. 2. Nerve damage associated with a spinal or epidural injection (2013). ­pdf. Accessed March 2014. 2: Example of an epidural analgesia information card given to patients on discharge from hospital Reproduced with permission of the Royal Adelaide Hospital, Central Adelaide Local Health Network. indb 13 30-10-2014 22:03:49 This page intentionally left blank Assessment and monitoring 3 CHAPTER The International Association for the Study of Pain defines pain as “An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” (Merskey, 1979: 250).

Indb 22 30-10-2014 22:03:50 Assessment and monitoring Chapter 3 Excessive doses of opioid may affect any or all of these aspects of ventilation, leading to both a rise in carbon dioxide (which can further increase sedation) and a fall in oxygen blood levels. However, any impairment that results is usually progressive and the risk of OIVI should be small if opioid doses are carefully titrated according to the pain the patient is experiencing while the patient is observed on a regular basis for signs of early OIVI.

There may be incomplete cross-tolerance between these drugs. In patients who have been receiving one opioid for a prolonged period, it is usually necessary to use a dose lower than the expected equianalgesic dose when changing to another opioid, and to titrate to effect. a SL, Sublingual. b Rapidly hydrolyzed to morphine. , 2011). If a change is made from one opioid to another, particularly if high doses or long-term use has been necessary, it is suggested that the alternative opioid be started at a lower than equianalgesic dose in the first instance.

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Acute Pain Management: A Practical Guide by Pamela E. Macintyre


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