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MEDICATIONS FOR PAIN - Analgesics (Part 2) - ICU Drips

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ICU Advantage

In this second lesson on analgesics, we take a look at the different medications that are available to use in the ICU to use as a continuous infusion for our patients pain. It is very important that we control a patients pain in the ICU and these medications are the ones that we frequently use to do just that.

We start off talk about our 2 groups, the "opioids" and the "other" medications. For the opioids there are 3 medications in this group and it is important to know that these medications are all CNS depressants. We talk about Morpine, Hydromorphone (Dilaudid), and Fentanyl (Sublimaze) which are all used as IV drips, although FentanyI is the most commonly used as it has less hypotensive effect and a shorter duration than the others.

We finish out the opioids talking about Naloxone (Narcan) as our reversal agent for the opioids, and while normally given IV push, it certainly is not uncommon to see it being infused as a drip.

Finally we talk about the "other" medications which really is a group composed of just one medication called Ketamine. We had already previously discussed Ketamine in our lesson on sedatives (**see link below**) but we do another quick review of how Ketamine is different from the opioids. Most importantly we don't typically use a ketamine infusion for just pain control.

Sedation (Part 2) ICU Drips:    • Sedation in ICU Patients (Part 2)  I...  

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Don't forget to check out the playlist for this series of lessons here:    • ICU Drips  

Also check out these other great lessons and series of lessons below!

Hemodynamics Principals:    • Hemodynamic Principals  
Shock:    • Shock  
Arterial Blood Gases:    • Arterial Blood Gases (ABGs)  
ECG/EKG Rhythm Interpretation:    • ECG/EKG Interpretation  
Heart Failure:    • Heart Failure  
Endocrine System:    • Endocrine System  

Blood Tubes Order of Draw:    • Order of Draw and Additives | Blood C...  
Glasgow Coma Scale:    • Glasgow Coma Scale (GCS) Assessment  

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Watch:    • whogaux  i don't care | Trap | NCS ...  
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#ICUDrips #Analgesics #ICUAdvantage

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