Analgesic Ladder for Acute Pain Management Cheat Sheet

A Education › Science cheat sheet in English by muizzah

Describe the analgesic according to the pain score

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Mild ( Pain score 1-3)

Regular
PRN (as needed)
No medication or Parace­tamol (PCM) 1g QID
PCM &/or NSAID or COX2 inhiibitor

Moderate (Pain 4-6) score

Regular
PRN (as needed)
Opioid Tramadol 50-100mg TDS-QID
Additional Tramadol 50-100mg (Max total dose:4­00m­g/day)
+- PCM 1g QID
+- NSAID/COX2 inhibitor

Severe (Pain score 7-10)

Regular
PRN (as needed)
IV/SC Morphone 5-10mg 4H or Aqueous Morphine 5-10mg 4H or IR Oxycodone 5-10mg 4-6H
IV/SC Morphine 5-10mg or Aqueous Morphine 5-10mg or IR Oxycodone 5-10mg
+- PCM 1g QID
+- NSAID/COX2 inhibitor

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