Reply To: Pain management

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I can see wanting to see if the pain pill is going to work or not, but we have no policy on not giving IV/IM meds on top of pain pills. If their pain was severe, I would probably go with the IV stuff instead of the pill and then give the pill once things were better under control, but if they need pain meds, I would give the pain meds as ordered. We give a ton of narcotics in the ER, so I have seen a few light weights stop breathing and stuff like that, so if they are frail and narcotic virgins, I start low and work my way up and use a continuous pulse oximeter on them, but for the doses I see written for the floor, they could have one of each and still not have any adverse reactions.

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