Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Miscellaneous issuesPostoperative analgesiaPONV as per ward protocol.Co-codamol 30/500 two tablets orally four times aday.plusplusDiclofenac 50 mg three times a day or ibuprofen400 mg three times a day (if not contraindicated).Oral morphine 10 mg every two hours forbreakthrough pain (pain score 3 only).Lower limb arthroplasty – postoperative analgesiaThis agreed guideline is displayed in the orthopaedic operatingtheatres at Coventry and Rugby and covers hip and kneereplacements.Premedication:• Oral paracetamol 1.5 g (or paracetamol 1 g iv during case).Postoperative prescription:(Irrespective of intraoperative technique used the anaesthetictechnique should include a femoral nerve block.)Once only (front of drug chart):• MST: 10-20 mg when patient returns to the ward. Halve thedose if returning to the ward after 4 pm.Regular• Paracetamol 1 g qds.• MST 10-20 mg b.d at 10:00 and 22:00 (dose dependant uponage, current co-existing morbidities and any concurrent opiateuse).208 Anaesthetists Handbook January 2010