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The most effective pain management involves a combined approach of developmentally appropriate nonpharmacologic strategies with the administration of pharmacologic agents. Through a comprehensive pain assessment, the nurse can begin to understand the impact of pain.
Morphine is the preferred opioid in most circumstances. Fentanyl or hydromorphone are alternative choices. The PCA infusion is prescribed ing to the PCA prescription guidelines .
Paracetamol or acetaminophen or is the most commonly used mild analgesic in children (Kearns, Leeder and Wasserman, 1998).
Pain assessment tools Visual Analogue Scale/Numerical rating scale. The Faces Pain Scale Revised. FLACC. The Revised FLACC.
For mild pain, such as pain from a new tooth, over-the-counter childrens paracetamol or ibuprofen may be helpful. These are often used in combination with non-medicine strategies. In more serious cases (such as pain from a broken bone), a doctor may need to prescribe stronger medicines.

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Paracetamol can be used for mild to moderate pain in babies over one month old, children, adolescents and adults. However, if too much paracetamol is given to a child for too long, it may harm the child. Ibuprofen can be used for mild to moderate pain in children, adolescents and adults.
For pediatric patients, nonpharmacologic measures, including relaxation and breathing exercises, guided imagery, biofeedback, massage, or distraction (e.g., art, pet, play, or music therapy), can docHubly decrease the need for pharmacologic pain management.
There are four commonly prescribed pediatric oral opioids: codeine, hydrocodone, oxycodone, and morphine. While morphine is the gold standard for analgesia, it has a relative low oral bioavailability. Morphine and oxycodone are active drugs and do not require biotransformation to produce analgesia.
Show the child that you are taking their pain seriously. Tell them what is happening using words they can understand. Fear and anxiety are known to increase perception of pain. Reassure them that their pain will be managed and that the treatment (such as an injection) will be less painful than the pain itself.
Acetaminophen, ibuprofen, ketorolac, gabapentin, and clonidine are common choices. Opioids such as morphine, fentanyl, hydromorphone, hydrocodone, or oxycodone are sometimes needed and are safe when given in low doses for a short period of time. At home. Many children are more comfortable and less anxious at home.

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