Nasal delivery of pain medication is an attractive form of pain control in settings where patients are suffering severe pain, yet do not have any IV access. Typical situations include hospice care at home, clinic settings where a painful procedure or dressing change is needed, EMS treatment of the injured or burned patient (especially children), Emergency treatment for orthopedic trauma, burns and pediatric painful conditions. There is now extensive literature on this topic (reviewed on this website) showing IN pain control is as effective as IV pain control, faster in onset in the situation where an IV does not already exist, can be titrated, and more commonly given in settings where concerns regarding IV start or IV opiates occur (small children with severe pain). Furthermore, the drugs can be reversed by intranasal naloxone if a problem arises. The most extensively studied intranasal medications are fentanyl and diamorphine. Other moderately well studied medications include sufentanil and ketamine. This overview section provides a quick look at the topic and provides dosing and protocols. Digging deeper behind this page is an extensive review the literature with supporting references ( Click here to skip the overview below and to go directly to the deeper discussion ).
(302) 885 2677 IMPORTANT SAFETY AND ELIGIBILITY INFORMATION Who should not get FluMist Quadrivalent? You should not get FluMist Quadrivalent if you have a severe allergy to eggs or to any inactive ingredient in the vaccine; have ever had a life-threatening reaction to influenza vaccinations; or are 2 through 17 years old and take aspirin or medicines containing aspirin – children or adolescents should not be given aspirin for 4 weeks after getting FluMist Quadrivalent unless your healthcare provider tells you otherwise.