I forgot to say that the oxycontin 5mg 2-4hrly is prn. There is a wide 
variation amongst our patients, as to how much of the prn oxycontin is given. 
Some manage without any at all, but most have several doses on the first day, 
and a couple on the second. 

However, reading the other responses, it does sound like a lot. Perhaps depends 
what was used in the spinal in theatre. We don't use morphine in theatre, so 
that may be the difference.
We used to use Prolodone supps which we found very effective, but they were 
replaced by the new regime.

Nicole.


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Ken WArd
Sent: Friday, June 24, 2005 7:02 PM
To: [email protected]
Subject: RE: [ozmidwifery] post LUSCS analgesia


seems like a lot. Coming from a unit where im analgesic was heavily used, I was 
greatly impressed with the voltaren/panadol regime. The women are up and about 
so much quicker, more alert and caring for their babies sooner.  Maureen

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver
Sent: Thursday, 23 June 2005 10:23 PM
To: [email protected]
Subject: RE: [ozmidwifery] post LUSCS analgesia


Hi Sally,
We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, 
Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease 
the oxycontin and commence Panadeine Forte in place of the Paracetamol. 
However, we have to watch out for constipation. Otherwise it seems to be a good 
regime.
Nicole Carver.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of sally williams
Sent: Wednesday, June 22, 2005 5:52 PM
To: [email protected]
Subject: [ozmidwifery] post LUSCS analgesia


Was wondering what other units use as a pain relief regime for women that
have had LUSCS. There is much angst in our unit at present, with midwives
coming from lots of different hospitals used to different regimes. I am in
the process of initiating a pathway for this so that we can adopt a regime
that everyone is comfortable with and then putting it to the docs,
references and all.

Thanks in advance

Sally

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