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Please refer to NSAID guidelines.
Please remember the side-effects of NSAIDs and stop them if the patient develops dyspepsia or renal impairment.
Remember unexpected pain must be investigated for other causes, especially if the analgesia prescribed becomes ineffective. The patient's condition can change.
Laxatives may need to be prescribed. Use with caution if patient has had bowel surgery. Encourage a high fibre diet and adequate fluid intake. Assess for other causes. Older adult inpatient management of constipation.
Nausea and vomiting:
An anti-emetic should be prescribed and administered. See PONV guidelines.
Assess cause – may not be opioid. Ondansetron can help or low dose naloxone.
If respiratory rate is less than 7 per minute and/or sedation score is 3:
CAUTION WITH THE FOLLOWING PATIENTS
At Raigmore Hospital the Acute Pain Team includes:
Consultant Anaesthetist - Department of Anaesthesia
Advice can be sought in office hours - 08.00 – 16.00 (page 1003 or 6056)
|eGFR||Estimated glomerular filtration rate|
|AKI||Acute kidney injury|
|ACE inhibitors||Angiotensin-converting-enzyme inhibitors|
Last reviewed: 11 November 2020
Next review: 11 November 2022
Author(s): Acute Pain Team
Approved By: TAM subgroup of ADTC
Reviewer Name(s): Acute Pain Nurse Specialist
Document Id: TAM100