the_negro_puppy
Forum Asst. Chief
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How do you guys manage pain in acute CVA stroke pt's?
Recently had a 50 y.o F pt with severe 9/10 headache to R) temporal region, complete L) side hemiplegia, slurred speech, BP220/120, GCS14 with emesis and incontinence during bed transfer at hospital.
I ended up giving 2.5mg IV morphine with little effect on the pain, but did not want to give more as I didn't want to further alter the patient's conscious state during the 40 minute tx. With only paracetamol and methoxyflurane available we had nothing else for pain relief. She ended up having a significant bleed in her basal ganglia.
What drugs do you guys use in situations like this? what is your opinion of analgesia during CVA's? Would you have given more analgesia?
Recently had a 50 y.o F pt with severe 9/10 headache to R) temporal region, complete L) side hemiplegia, slurred speech, BP220/120, GCS14 with emesis and incontinence during bed transfer at hospital.
I ended up giving 2.5mg IV morphine with little effect on the pain, but did not want to give more as I didn't want to further alter the patient's conscious state during the 40 minute tx. With only paracetamol and methoxyflurane available we had nothing else for pain relief. She ended up having a significant bleed in her basal ganglia.
What drugs do you guys use in situations like this? what is your opinion of analgesia during CVA's? Would you have given more analgesia?