Analgesic choice for cholecystitis

Analgesic choice for cholecystitis - Comments from Sharon...

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Comments from Sharon in blue text I found the following information on the internet (there was more but these two articles summarize the main points and concerns.) Analgesic recommendations for the patient with acute pain caused by cholecystitis. E-Medicine from WebMD , 2009 “Classic teaching is that morphine is not the agent of choice because of the possibility of increasing tone at the sphincter of Oddi. Meperidine has been shown to provide adequate analgesia without affecting the sphincter of Oddi and, therefore, is the DOC…. (It is an analgesic) with multiple actions similar to those of morphine. (It) may produce less constipation, smooth muscle spasm, and depression of cough reflex than similar analgesic doses of morphine.” The same article also recommends Vicodin and Percocet for pain. The catch to this teaching is that many hospitals have removed meperidine from their pharmacies because of the risk of seizures (see article below)
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This note was uploaded on 04/21/2011 for the course NURSING 105 taught by Professor Copeland during the Winter '09 term at Grand Valley State.

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Analgesic choice for cholecystitis - Comments from Sharon...

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