Effortlessly Detox From Oxycodone
-Acetaminophen Hydrocodone elixir per 5 mL hydrocodone 2.5 mg, acetaminophen 167 mg Lortab 2.5 500 Hydrocodone 2.5 mg, acetaminophen 500 mg Lortab 5 500 and Vicodin Hydrocodone 5 mg, acetaminophen 500 mg Lortab 7.5 500 Hydrocodone 7.5 mg, acetaminophen 500 mg Vicodin ES Hydrocodone 7.5 mg, acetaminophen 750 mg Lortab 10 500 Hydrocodone 10 mg, acetaminophen 500 mg Lortab 10 650 Hydrocodone 10 mg, acetaminophen 650 mg Children 0.6 mg hydrocodone kg day PO q6-8h prn 12 yr do not exceed 10 mg dose
-Morphine sulfate 0.1 mg kg dose (max 10-15 mg) IV IM SC q2-4h prn or follow bolus with infusion of 0.05-0.1 mg kg hr prn or 0.3-0.5 mg kg PO q4h prn OR -Acetaminophen codeine 0.5-1 mg kg dose (max 60 mg dose) of codeine PO q4-6h prn elixir 12 mg codeine 5 mL tabs 15, 30, 60 mg codeine component OR -Acetaminophen and hydrocodone elixir per 5 mL hydrocodone 2.5 mg, acetaminophen 167 mg tabs Hydrocodone 2.5 mg, acetaminophen 500 mg Hydrocodone 5 mg, acetaminophen 500 mg Hydrocodone 7.5 mg, acetaminophen 500 mg, Hydrocodone 7.5 mg, acetaminophen 650 mg, Hydrocodone 10 mg, acetaminophen 500 mg, Hydrocodone 10 mg, acetaminophen 650 mg Children 0.6 mg hydrocodone kg day PO q6-8h prn 12 yr do not exceed 10 mg dose
Oxycodone To illustrate the test, consider a trial of analgesia in palliative care. Sixty patients are randomized into three groups. One group receives oxycodone, one morphine and the final group diamorphine. Over the next 5 days, the dosage is adjusted to what is considered the optimum for each patient. The patients then score their pain on a 'visual analogue' scale. This consists of a line on a piece of paper. One end of the line is labelled 'no pain' and the other 'severe pain'. The patient then makes a pencil mark on the line at a point indicating their impression of their pain. The scale is 10 cm long and the distance is measured to the nearest mm, giving potential scores from zero to 100. The results are shown in Table 17.7. Oxycodone 35.0
Codeine, hydromorphone (Dilaudid), oxycodone, morphine, and meperidine can be administered orally ( TabJe.,32-4), hydromorphone and codeine being readily absorbed from the gastrointestinal tract. Fentanyl is now available as a raspberry-flavored fentanyl-impregnated lozenge preparation (Oralet).
Once the fingertip injury is repaired, it should be dressed in nonadherent gauze, such as Adaptic (Johnson & Johnson Medical, Inc.) or an antibiotic-impregnated petrolatum gauze, such as Xeroform (Kendall Healthcare Products) and wrapped with sterile gauze dressings. If possible, it is desirable to observe capillary refill after the dressing has been placed. Ihe fingertip should always be wrapped loosely to allow for adequate circulation. A metal or plastic-cap splint should be incorporated into the last layer of dressing for protection and avoidance of painful stimulation. Ihe hand should be kept elevated. Ihese injuries tend to be very painful, so adequate analgesia with oxycodone or hydrocodone should be offered to all patients. A follow-up wound check by the hand or plastic surgeon is recommended after 2 days. Sutures are usually removed 2 weeks after the injury. Exercises to prevent joint stiffness are begun 10 to 14 days following soft-tissue injuries and after 3 weeks if a...
0.5-1.0 mg codeine kg dose PO q4h prn. -Acetaminophen Hydrocodone elixir per 5 mL hydrocodone 2.5 mg, acetaminophen 167 mg Tab Lortab 2.5 500 Hydrocodone 2.5 mg, acetaminophen 500 mg Lortab 5 500 and Vicodin Hydrocodone 5 mg, acetaminophen 500 mg Lortab 7.5 500 Hydrocodone 7.5 mg, acetaminophen 500 mg Vicodin ES Hydrocodone 7.5 mg, acetaminophen 750 mg Lortab 10 500 Hydrocodone 10 mg, acetaminophen 500 mg Lortab 10 650 Hydrocodone 10 mg, acetaminophen 650 mg Children 0.6 mg hydrocodone kg day PO q6-8h prn 12 yr do not exceed 10 mg dose -ELAMax lidocaine 4 cream (liposomal) 5, 30 gm Apply 10-60 minutes prior to procedure. Occlusive dressing is optional. Available OTC.
Acetaminophen codeine (Tylenol 3) 1-2 tab PO q3-4h prn OR Oxycodone acetaminophen (Percocet) 1 tab q6h prn pain. Milk of magnesia 30 mL PO q6h prn constipation. Docusate Sodium (Colace) 100 mg PO bid. Dulcolax suppository PR prn constipation. A and D cream or Lanolin prn if breast feeding. Breast binder or tight brazier and ice packs prn if not to breast feed. Labs Hemoglobin hematocrit in AM. Give rubella vaccine if titer
Wounds, particularly burns and abrasions, can be painful. Patients should be instructed about the potential for pain and measures to help control it. The need for analgesics should also be considered for every wound patient. Narcotic analgesics, particularly hydrocodone and oxycodone, may be necessary. Studies have consistently found that ED patients are often untreated with analgesics for acute, painful injuries while in the ED and upon discharge. Patients who do receive appropriate analgesics upon discharge report greater satisfaction with overall care. 5 The pain from wounds decreases during the first 48 h and narcotic analgesics are not usually required beyond that time.
Most opioids are more effective when given parenterally than orally, owing to variable but significant first-pass effect. Opioids with good oral potency are codeine, oxycodone, levorphanol, and methadone. The metabolism of codeine, morphine, propoxyphene, oxycodone, meperidine, and methadone is mostly hepatic. The hepatic metabolites may be pharmacologically active. Concurrent use of benzodiazepines, barbiturates, and alcohol is common in the opioid abuser either because of their additive effect or their capacity to inhibit hepatic metabolism, especially the metabolism of methadone. Cyclic antidepressants and propoxyphene also decrease methadone metabolism.
Sickle cell patients need prompt pain relief with adequate analgesia. The presence of narcotic addiction or the potential for its development should not alter what is prescribed in the ED. Sickle cell patients who frequently seek help in the ED will benefit from a protocol treatment plan so they know what to expect and manipulative behavior is minimized. The emergency staff should have a consistent approach to the use of narcotics in these patients. It is reasonable to administer up to two doses of narcotics in the ED over a 4- to 6-h period if patients still have significant pain, they should be admitted to the hospital. Nonnarcotic analgesics such as acetaminophen or ibuprofen can be used for mild pain, although most sickle cell patients do not come to the ED for mild pain. Although ketorolac will not manage the pain of a severe crisis, some have found it helpful as an adjunctive treatment. Oral narcotics such as acetaminophen-codeine or oxycodone may be adequate for...
1 Codeine (Tylenol 3) 1 Hydrocodone (Vicodin) 1 Hydromorphine (Dilaudid) 1 Meperidine (Demerol) 1 Morphine 1 Oxycodone (OxyContin, Percocet, Percodan) Oxycodone (OxyContin, Percodan, Percocet, Tylox) Hydrocodone bitartrate (Lorcet, Lortab, Vicodin) Acetaminophen 325 mg + oxycodone 7.5 mg Aspirin 325 mg + oxycodone 5 mg Vicodin Acetaminophen 325 mg + hydrocodone bitartrate 5 mg Vicodin Acetaminophen 325 mg + hydrocodone bitartrate 5 mg