Intern Pocket Cards - Pharmacologic Pain Management Options Anti-inflammatory: • Acetaminophen (24 hours: < 3-4g in healthy adults, <3g in CKD, <2g in liver disease or cirrhosis) • Oral NSAIDs or IV ketorolac (avoid NSAIDs if CKD or >2 of the following risk factors: history of GI ulcer, age >60, on steroids, on ASA/anticoagulation) • Opioid: Hydrocodone, morphine, oxycodone, hydromorphone, fentanyl, tramadol, codeine • Topical: Lidocaine patch, menthol cream, lidocaine/prilocaine cream, capsaicin cream • Neuropathic agents: Gabapentin, pregabalin, SNRIs, TCAs • Anti-spasmodic: Baclofen, cyclobenzaprine, tizanidine Opioid Equianalgesia Conversion Table: • Morphine 10 IV, 25 PO • Hydromorphone 2 IV, 5 PO • Oxycodone 20 PO • Hydrocodone 25 PO • Codeine 100 IV, 200 PO • Fentanyl 0.15 IV • Tramadol 100 IV, 120 PO Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #Pain #Opioid #Conversion #Table #Ladder #medications #pharmacology #agents #internship #guide #comparison
