Acute pain <unk> derate to severe):
Oral: 10-30mg q4hr PRN
IM: 5-15mg
Typically not recommended due to erratic absorption
If utilized, no<unk> re than one IM dose should be given, due to the danger of "stacking" doses (may lead to respiratory compromise)
IV: 0.1 mg/kg bolus followed by 0.05 mg/kg q15-20 min until pain controlled
Hold further doses for respiratory depression
Dosed according to ideal body weight
AMI: 4-8mg q5-15min PRN
Critically ill: 2-4mg q1-2hr or 4-8mg q3-4hr PRN
Continuous infusion IV, SC: 0.8-10mg/hr (up to 80mg/hr)
Critically ill: 2-30mg/hr
PCA 0.5-2.5mg q5-10min PRN
Epidural (Preservative free)
Single dose: 30-100mcg/kg
Continuous infusion: 0.2-0.4mg/hr
Continuous microinfusion: 3.5-10mg over 24hrs, titrate to effect (max ~30mg)
Intrathecal (Preservative free)
Single dose: 0.1-03.mg
Continuous microinfusion: 0.2-10mg over 24 hours (max ~20mg)
Rectal: 10-20mg q3-4hr
Oral: 10-30mg q4hr PRN
IM: 5-15mg
Typically not recommended due to erratic absorption
If utilized, no<unk> re than one IM dose should be given, due to the danger of "stacking" doses (may lead to respiratory compromise)
IV: 0.1 mg/kg bolus followed by 0.05 mg/kg q15-20 min until pain controlled
Hold further doses for respiratory depression
Dosed according to ideal body weight
AMI: 4-8mg q5-15min PRN
Critically ill: 2-4mg q1-2hr or 4-8mg q3-4hr PRN
Continuous infusion IV, SC: 0.8-10mg/hr (up to 80mg/hr)
Critically ill: 2-30mg/hr
PCA 0.5-2.5mg q5-10min PRN
Epidural (Preservative free)
Single dose: 30-100mcg/kg
Continuous infusion: 0.2-0.4mg/hr
Continuous microinfusion: 3.5-10mg over 24hrs, titrate to effect (max ~30mg)
Intrathecal (Preservative free)
Single dose: 0.1-03.mg
Continuous microinfusion: 0.2-10mg over 24 hours (max ~20mg)
Rectal: 10-20mg q3-4hr
Typically not recommended due to erratic absorption
If utilized, no<unk> re than one IM dose should be given, due to the danger of "stacking" doses (may lead to respiratory compromise)
Hold further doses for respiratory depression
Dosed according to ideal body weight
AMI: 4-8mg q5-15min PRN
Critically ill: 2-4mg q1-2hr or 4-8mg q3-4hr PRN
Critically ill: 2-30mg/hr
PCA 0.5-2.5mg q5-10min PRN
Single dose: 30-100mcg/kg
Continuous infusion: 0.2-0.4mg/hr
Continuous microinfusion: 3.5-10mg over 24hrs, titrate to effect (max ~30mg)
Single dose: 0.1-03.mg
Continuous microinfusion: 0.2-10mg over 24 hours (max ~20mg)
Morphine
Codeine
Methadone
Meperidine
Butorphanol
Fentanyl
Benzocaine
Oxycodone