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Re: Pain MedicationFrom: John Robertson MD (john.robertson@obgyn.net)Mon Jul 17 19:01:20 2000
At Sun, 16 Jul 2000, Geffrey Klein, MD wrote: > >I want to do a little survey.. > >The answers are obviously individual to the patient in question, but >in general, what does everyone give as a prescription and quantity >for pain relief on discharge for the following: > >1) vaginal delivery >2) cesarean section >3) abd hyst >4) vag hyst > >For me: > >1) vicodin 1-2 q 3-4 prn # 20 no refill or > Tylenol # 3 1-2 q 3-4 prn # 20 no refill or > motrin 800 q 8 prn #15 no refill >2) vicodin 1-2 q 3-4 prn # 25 1 refill or > Tylenol # 3 1-2 q 3-4 prn # 25 1 refill >3) vicodin 1-2 q 3-4 prn # 25 1 refill or > Tylenol # 3 1-2 q 3-4 prn # 25 1 refill >4) vicodin 1-2 q 3-4 prn # 20 1 refill or > Tylenol # 3 1-2 q 3-4 prn # 20 1 refill > >If allergic to codeine I would substitute darvocet or the like > I'm wondering if we could use generic names so that people practicing in other countries wouldn't be scratcing their heads at "vicodin". Motrin I recognize as Ibuprofen, and I think everyone knows that Tylenol #3 is a mixture of acetaminophen caffiene and codeine. My answers are: 1) Over the counter (OTC) medications - patient buys own - such as ibuprofen or acetaminophen 2) Tylenol #3 (as above) 1-2 po q4h prn 3) see 2 4) see 2 but often 1.
>--
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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