Analgesia for Acute Non-Surgical Pain
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition
Medical conditions associated with severe pain
Acute pain due to gastrointestinal colic
MEDICAL CONDITIONS ASSOCIATED WITH SEVERE PAIN
R52.0/R52.1/R52.2/R52.9
DESCRIPTION
There are numerous medical conditions associated with severe acute or chronic pain e.g. myocardial infarction, renal colic, sickle-cell crisis and intra articular haemorrhage due to haemophilia.
GENERAL MEASURES
- The analgesic treatment for these conditions is as for patients with acute post-operative pain (see: Postoperative pain in the recovery room).
- Patients should be monitored for respiratory and cardiovascular depression when IV opioids are administered. Patients already on opioids for chronic pain, who experience an acutely painful event, may be opioid tolerant and require higher IV opioid doses to control their pain.
ACUTE PAIN DUE TO GASTROINTESTINAL COLIC
R10.0-4
MEDICINE TREATMENT
- Hyoscine butylbromide, IV/oral, 10 mg 8 hourly.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Adult Hospital Level, 2020-2024_Version 1.0_07 November 2024
Chapter 25: Pain_25.2 Analgesia for Acute Non-Surgical Pain