St Johns Inpatient Pain Team SJH Inpatient Pain Team Mostly surgical but also medical psychiatric and obstetric patients We dont cover Paediatrics or Palliative patients refer to Palliative Care Team ID: 930703
Download Presentation The PPT/PDF document "Opioids & Pain Management" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Opioids & Pain Management
St Johns Inpatient Pain Team
Slide2SJH Inpatient Pain Team
Mostly surgical but also medical, psychiatric and obstetric patients.
We don't cover Paediatrics or Palliative patients (refer to Palliative Care Team)
Can offer advice on problematic pain / complex pts / uncontrolled severe pain
All referrals / requests for advice should be made directly to bleep
3934
during office hours Monday-Friday
Please call as early in the day as possible
to allow us time to review patient if required & document on TRAK once referred.
Referral by email is not appropriate as this may be missed.
Out of hours ....
Slide3Referring to Inpatient Pain Team
Before referring your patient please check the following:
Have you already followed the basic principles of the analgesic ladder?
Please have all the following information available when phoning:
Name, Ward & CHI
Pain summary & current analgesia including doses in last 24 hours
Past medical history/renal function
Who manages patient’s pain at present? (Most likely GP but possibly chronic pain clinic)
Slide4Scenario
56 year old (opioid naive) male
Admitted with severe
otitis
externa
Required 10mg oral morphine x 13 in previous 24 hours = 130mg
S/b ward doctor in evening, started on Morphine MR 60mg BD
Given 2 doses then feeling drowsy & nauseated
Pain Team called - reduced to 20mg
bd
Arrest call put out at 02.30 following morning
Unsuccessful resuscitation
Slide5Key Points
Analgesic ladder is opioid sparing & effective
Be aware of signs of opioid toxicity
Prescribe appropriately for pain considering age, co morbidities, reason for admission
If you don't know what a drug is look it up
eg
Tapentadol
,
Buprenorphine
, (
Bivudal
)
Always reduce dose when converting from another opioid (paindata.org for conversions)
**
If in doubt, call the Pain Team for advice!
**