Accepted at: Oct, 31, 2026
6:33 p.m.
Author:
beejumm
Related Deck:
1774497721586
Accepted
Rationale for new note
Added new card bsed on MKSAP
Text
The best next immediate step in management of acute severe postsurgical pain in a hospitalized patient is a(n) {{c1::IV opioid}}
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The best next <i>immediate step</i> in management of <b>acute severe postsurgical pain</b> in a <u>hospitalized</u> patient is a(n) {{c1::IV opioid}}<br>
Extra
- Opioids = mainstay for rapid, effective postoperative pain control
- Parenteral route only if unable to take oral or rapid analgesia needed
- Administer lowest effective dose, for the shortest duration; monitor for somnolence, respiratory depression, urinary retention, nausea / vomiting
- Multimodal adjuncts (gabapentin, massage / music / relaxation) reduce opioid needs but do not replace IV opioid bolus
- Parenteral route only if unable to take oral or rapid analgesia needed
- Administer lowest effective dose, for the shortest duration; monitor for somnolence, respiratory depression, urinary retention, nausea / vomiting
- Multimodal adjuncts (gabapentin, massage / music / relaxation) reduce opioid needs but do not replace IV opioid bolus
Extra
- Opioids = mainstay for rapid, effective postoperative pain control<br><br>- Parenteral route only if unable to take oral or rapid analgesia needed<br><br>- Administer lowest effective dose, for the shortest duration; monitor for somnolence, respiratory depression, urinary retention, nausea / vomiting<br><br>- Multimodal adjuncts (gabapentin, massage / music / relaxation) reduce opioid needs but do not replace IV opioid bolus
Personal Notes
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Personal Notes
Missed Questions
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Algorithm
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Additional Resources
Coccolini F, Corradi F, Sartelli M, et al. Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines. World J Emerg Surg. 2022;17:50. PMID: 36131311 doi:10.1186/s13017-022-00455-7
Additional Resources
Coccolini F, Corradi F, Sartelli M, et al. Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines. World J Emerg Surg. 2022;17:50. <a href="http://www.ncbi.nlm.nih.gov/pubmed/36131311">PMID: 36131311</a> doi:10.1186/s13017-022-00455-7
One by one
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Tags
#AK_ABIM::!Specialties::Critical_Care::04_ICU_sedation_and_analgesia
#AK_ABIM::#MKSAP::ccmcq26025