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6.4. Minimising Fasting Traditionally patients are fasted to reduce the risk of aspiration. Based upon current guidelines adults should fast at least 2 hours from clear liquid intake [41]. The evidence for the use of perioperative carbohydrate rich oral supplements is encouraging but lacking in qual...
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The oral liquid is typically dosed at 2.5 to 10 mg every 3 to 6 hours. Parental and oral doses are not equivalent. The parenteral dose is five times more potent than the oral dose. The long-acting form (Exalgo®) is used for opioid-tolerant patients with chronic severe pain. It is...
a. Cold liquid(cold drinks, ice cubes, or ice cream). b. Constipationand the resulting Valsalva Maneuver (straining during bowl movement) that can activate the vasovagal response. Rx- Take digestive enzymes and magnesium (a laxative in higher dose) ...