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How do you approach making an acute pain IV opioid plan for a new adult SCD patient who doesn’t remember what has worked for them in the past?

Do you create a provisional plan (e.g., hydromorphone 0.02 mg/kg IV) at the first clinic visit in case they present to the ED/infusion center or are admitted, or wait until you know the patient and their opioid requirements better?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Hematology · Yale
Answered on

I create an FYI at the initial clinic visit and go over the FYI with them so that we are both comfortable with the plan and the patient knows their plan.

The first thing I would do is look through outside records, for example if they are available in care everywhere. If that is not available then yo...

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