Comparison of intravenous morphine and paracetamol.
One of the main complaints from patients who present to emergency departments with illness or injury is pain, yet often this is not well managed in emergency settings. Nurse prescribers are in an ideal position to make a rapid assessment and then prescribe and treat patients' pain, and must quickly decide which is the safest and most effective drug for each individual. This article compares intravenous morphine with intravenous paracetamol for managing pain in patients with isolated limb trauma who then require manipulation under sedation. A case study examines the decision-making process.
Royal Sussex County Hospital emergency department, Brighton.
Justin
J
Walford
D000082:Acetaminophen / Q000008:administration & dosage* / Q000191:economics; D061605:Administration, Intravenous; D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage* / Q000191:economics; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000191:economics; D064386:Ankle Fractures / Q000150:complications* / Q000188:drug therapy; D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D008297:Male; D009020:Morphine / Q000008:administration & dosage* / Q000191:economics; D010146:Pain / Q000188:drug therapy* / Q000209:etiology
D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000082:Acetaminophen; D009020:Morphine
analgesia; initial pain scores; isolated limb trauma; morphine; paracetamol