195 results
Acute Pain Management in Patients on Buprenorphine
Continue Maintenance Buprenorphine (Divide dose q4-8hrs)
Non-opioid analgesia: 
 - Promote
opioids: Fentanyl, Hydromorphone ... Pain #Management #addiction
Addictions: Pathogenesis

Mesolimbic Dopaminergic Pathway:
 • Dopaminergic neurons in Ventral Tegmental Area (VTA) in midbrain under continuous
Addictions: Pathogenesis ... which influence addictive ... behaviours -> Addiction ... Withdrawal) #Drug #Addiction
Opioid equivalencies - Morphine, Oxycodone, Hydromorphone - Simplified Conversion Table
Morphine 30 PO = 10 IV =
Morphine, Oxycodone, Hydromorphone ... Oxycodone 20 PO = Hydromorphone
Hydromorphone use for acute pain: Misconceptions, controversies, and risks. Motov et al
https://www.ncbi.nlm.nih.gov/pubmed/29508897

Visual Abstract by David Cisewski,
Hydromorphone use ... #Dilaudid #Hydromorphone
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Muscles Shoulder Abduction ... Nerve Shoulder Adduction ... Nerve Fingers Abduction ... Gluteal Nerve Hip Abduction
Randomized Clinical Trial of IV Acetaminophen as an Analgesic Adjunct for Older Adults with Acute Severe
when compared to hydromorphone ... Acetaminophen #Adjunct #Hydromorphone
The Acute Care Opioid Table - For Emergency Providers

There are a hundred opioid tables out there,
Morphine, PO Hydromorphone ... Fentanyl, IV Hydromorphone
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Shoulder: • Abduction ... (axillary) • Adduction ... C8 (radial) • Abduction ... T1 (ulnar) • Adduction
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
of hand (finger abduction ... & adduction) OK
Table A is a standard conversion of equianalgesic opioids. Many practice sites or text books may
Equianalgesic #Morphine #Hydromorphone