Hospitals & Services
No patient should be required to endure excessive pain.
If the patient is awake and alert consider in step-wise fashion the following:
Codeine preparations (with or without paracetamol)
Non-steroid anti-inflammatory drugs unless contra-indicated, (ie: bleeding diathesis, gastric ulcer / erosion, renal dysfunction).
Patient controlled analgesia (PCA): if possible bolus dose only.
Where the patient is unable to co-ordinate the PCA mechanism, bolus analgesia should be administered by the nursing staff, titrated to the patients request for pain relief.
In exceptional circumstances an infusion of narcotic may be appropriate (as outlined below).