Page 61 - ATP-P 11th Ed

Table 10 Cont.
PCC Role-based Guideline for Pain Management (Analgesia and Sedation)
T Drug/Interactions/Dose Onset Duration Side-Effects
C Midazolam (Versed) SECTION 1
C • For sedation and 15–20 1–6 hr when • Drowsiness
C anxiolysis; will also mins when given IM, • Respiratory depression
- cause anterograde given IM, 15 min– ESPECIALLY when used
C amnesia 2 mins 6 hrs (HIGH with any narcotic
M • 2–4mg IM when variability) • Nausea/vomiting
C • 0.5–1mg IV (push given IV
slowly over 1–2
minutes)
Acetaminophen/ 10–20 3–4 hours • Drowsiness
Hydrocodone (Norco) minutes • Respiratory depression
• For moderate-severe • Sedation
pain • Nausea/vomiting
• Comes in multiple • Itching
strengths of hydro- Note: contains acetaminophen.
codone – 5/7.5.10mg Be aware of total dose when
• 1–2 tabs PO q4– given with other drugs that
6hr PRN for 5mg contain acetaminophen
hydrocodone strength
Acetaminophen/ 10–20 3–4 hours • Drowsiness
Oxycodone (Percocet) minutes • Respiratory depression
• For moderate-severe • Sedation
pain • Nausea/vomiting
• Comes in multiple • Itching
strengths of Note: contains acetaminophen.
oxycodone – 5/7.5/10mg Be aware of total dose when
• 1–2 tabs PO q4– given with other drugs that
6hr PRN for 5mg contain acetaminophen
oxycodone dose
Hydromorphone 15–20 3–4 hours • Drowsiness
(Dilaudid) mins when • Respiratory depression
• For severe pain given IM; • Sedation
• 1–2mg IM 2 mins • Nausea/vomiting
• 0.5–1mg IV when • Itching
given IV
Morphine 15–20 3–4 hours • Drowsiness
• For severe pain mins when • Respiratory depression
• 5–10mg IM given IM; • Sedation
• 2–4mg IV 2–5 mins • Nausea/vomiting
when • Itching
given IV
(continues)

50 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 51