Intern Pocket Cards - Pharmacologic Pain Management Options

Anti-inflammatory:

 • Acetaminophen (24 hours: < 3-4g in healthy adults, <3g in CKD, <2g in liver disease or cirrhosis)

 • Oral NSAIDs or IV ketorolac (avoid NSAIDs if CKD or >2 of the following risk factors: history of GI ulcer, age >60, on steroids, on ASA/anticoagulation)

 • Opioid: Hydrocodone, morphine, oxycodone, hydromorphone, fentanyl, tramadol, codeine

 • Topical: Lidocaine patch, menthol cream, lidocaine/prilocaine cream, capsaicin cream

 • Neuropathic agents: Gabapentin, pregabalin, SNRIs, TCAs

 • Anti-spasmodic: Baclofen, cyclobenzaprine, tizanidine

Opioid Equianalgesia Conversion Table:

 • Morphine 10 IV, 25 PO

 • Hydromorphone 2 IV, 5 PO

 • Oxycodone 20 PO

 • Hydrocodone 25 PO

 • Codeine 100 IV, 200 PO

 • Fentanyl 0.15 IV

 • Tramadol 100 IV, 120 PO



Dr. Satya Patel @SatyaPatelMD

Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset



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