№ files_lp_4_process_3_119607
Structured clinical guideline for the administration of pain relief medications in children and adults according to severity and specific medical conditions.
Note: Issue date
Scope: Children and adults presenting with distress due to pain
Red Flags: Suspected infection, Recent significant trauma
Indications: Mild to moderate pain relief, Anti-inflammatory pain relief, Moderate pain relief with codeine
Medicines: Paracetamol, Ibuprofen, Codeine phosphate
Dosage instructions: See standing order for age-specific dosing
Route of administration: Oral
Quantity: Paracetamol 60 x 500mg tablets or 200mLs suspension, Ibuprofen 40 x 200mg tablets or 200mLs suspension, Codeine 12 x 15mg tablets
Contraindications: Liver failure, Renal failure, Hypersensitivity to NSAIDs, Severe heart failure, Gastro-intestinal ulceration or bleeding, Acute respiratory depression
Precautions: Elderly, cardiac impairment, hypertension, risk of sedation, constipation, dependence, drug-seeking behavior
Follow-up: Return if pain is uncontrolled, worsens, or symptoms change
Countersigning and auditing: Countersigning required within 48 hours for orders including codeine
Competency/training requirements: Nurses must be signed off as competent and trained for this standing order
Supporting documentation: Healthpathways, Best Practice Journal, New Zealand Formulary, Medsafe data sheets, Standing Order Guidelines Ministry of Health 2012, Medicines (Standing Order) Regulations 2012
Signed by issuer: Name, Title, Date
Price: 8 / 10 USD
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