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Contraindications for Adult Analgesia - Ischemic Patient with Chest pain

Question# 578

Under the new contraindications for Acetaminophen, Ibuprofen/Ketorolac for Adult analgesia, if a patient is being treated for ischemic chest pain with ASA/nitro, is the suspected ischemic pain means we cannot under any circumstances give A/I/K to someone being treated for ischemic chest pain or we don't want chest pain to be treated under analgesia.

Ie, pt with ischemic chest pain also fell and sprained/broke his/her ankle, if we are treating the chest pain under Cardiac Ischemia does it mean we cannot treat the ankle under Analgesia?



Generally speaking, the intent of the contraindication is to clarify the separate pathway approach to each unique situation. If both complaints exist, it is reasonable to apply both directives with little risk.

As this is a rare and complex presentation, the Base Hospital Physicians suggest consultation to discuss the most appropriate treatment options for your individual patient's needs and risks (i.e. patch).

Medical Directive Category



23 February 2022



Please reference the MOST RECENT ALS PCS for updates and changes to these directives.