Microsoft word - pain mgt doc _2_.docx
Post‐Operative Pain Management
In an effort to control post operative pain as effectively as possible, Dr. Krause uses multiple
avenues to alleviate pain. He may recommend one or a combination of the following medications following surgery. Contact our office if you have questions about surgical pain control.
Narcotics (Hydrocodone, Oxycodone, Codeine)—Block transmission of pain signal to brain
o Dose: 1‐2 tablets every 4‐6 hours for pain as needed. Take only as needed for pain.
Do NOT take if not having pain. Frequency of dosing is related to the maximum dose
A common side effect of Narcotics is constipation. Dr. Krause recommends that patients take
Colace, a stool softener, or Miralax to help with constipation. In the event that constipation
occurs despite taking a stool softener, a mild laxative such as Dulcolax suppository or pills
are recommended. Both the stool softener and laxative are sold over the counter.
o Dose: Colace 100 mg two times per day; Dulcolax suppository 1 per rectum; Dulcolax
pills 1 ‐2 by mouth. Miralax 2 teaspoons dissolved in 8 oz of water once daily. Miralax may take 2 ‐4 days for results.
Nerve Block—The Anesthesiologist may recommend a nerve block with a long acting
anesthetic to control post‐operative pain. The nerve block can lessen or eliminate pain for 18‐36 hours following surgery. You may experience a numb feeling while the nerve block is
working. This is typically performed prior to going into the operating room
Cold Therapy—Keeping a traumatized (from surgery) extremity cool helps to minimize the
swelling and pain. Ice packs have been used for centuries and still work very well.
Companies have developed devices to deliver a constant, steady circulation of cold water (Polar Care) that can be applied to a traumatized extremity. If your insurance company does
not pay a significant amount of the cost of the polar care, patients may choose to purchase the Polar Care ($225).
Prescriptions‐The Corner Pharmacy offers a delivery service for Dr. Krause’s patients. The
pharmacy will fill the patient’s post operative prescription and deliver the medication to the surgery center on the day of surgery. There is no fee charged for the delivery service. The
medication will be billed to the patient’s insurance. The patient will only pay the required
copay with cash, credit card or check. If you choose to have your prescription filled at a different pharmacy, please notify us and we will provide you with a written prescription.
Acetaminophen (Tylenol) Information Sheet
Acetaminophen (a‐seet‐a‐MIN‐oh‐fen) is one of the most common medications found in households. Over the years, it has been proven to a safe and effective medication. However, if taken in excess
amounts, Acetaminophen can cause life threatening illness. Acetaminophen overdose can seriously damage the liver and/or cause death.
Acetaminophen is found in many over the counter and prescription medications. Common names
include: Actifed, Alka‐Seltzer Plus, Benadryl, Butaibital, Co‐Gesic, Contact, Darvocet, Excedrin, Fioricet, Lortab, Midrin, Norco, Percocet, Robitussin, Sedapap, Sinutab, Sudafed, TheraFlu, Unisom
with Pain, Vick’s Nyquil and Dayquil, Vicodin, Wygesic and Zydone. Following an overdose of Acetaminophen, you may remain symptom free for up to 24 hours. Common Symptoms include: Nausea, vomiting, not feeling well, loss of appetite, abdominal pain,
jaundice, sweating, and diarrhea. If you suspect that you have ingested an overdose of Acetaminophen, you must seek immediate medical care by calling 911, the local poison control
center, or the American association of Poison Control Centers at 1‐800‐222‐1222. The poison
control center will instruct you on the appropriate course of action. The maximum dose of acetaminophen is 4000 mg per day. Your prescription pain pills frequently contain acetaminophen. Dr. Krause frequently prescribes Norco. Norco is a combination of
Hydrocodone (narcotic pain medication) and Acetaminophen. The dosage is labeled 5/325 (or 7.5/325) where the 5 represents the dosage of Hydrocodone (5 mg) and 325 represents the dosage
of Acetaminophen (325 mg). Vicodin is a trade name for a medication very similar to Norco. Odin (5mg/500) has 500mg of Acetaminophen for same dosage of Hydrocodone (5mg/325). If you are
taking pain pills, you should monitor the amount of Acetaminophen you ingest. If you are taking Norco without any other medications containing Acetaminophen, you can take up to 12 tablets per
day. If you are taking Vicodin, You can only take 8 tablets per day. You need to take less if you are ingesting Acetaminophen from other sources.
Please notify Dr. Krause or his staff if you have any questions regarding your pain medication
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