mcnincha

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1. Desperate for help with Gastroparesis pain mgmt

   mcnincha replied to NC29mom's topic in Hospice

   Ps...for pain crisis he would really benefit from iv or some type line to give iv push dilauidid with max dose of 4 mg q hr and of course if you have pca pump clinician bolus can be given untill comfort achieved if titrate till effective order in pla...

2. Desperate for help with Gastroparesis pain mgmt

   mcnincha replied to NC29mom's topic in Hospice

   I agree with previous post related to use of methadone...our medical director recently went to a conference where the use of low dose methadone tid or qid depending on pt and history proved more effective than doses increased to higher doses bid..kyt...