Pain Management Nursing Guide 2026: Assessment, Opioids, and Multimodal Analgesia

Part of the ICU Emergencies Hub — browse every related guide in one place.

This article was created with AI assistance.
Contents: Pain Assessment WHO Analgesic Ladder Non-Opioid Analgesics Opioid Analgesics Opioid Side Effects Naloxone Multimodal Analgesia NCLEX High-Yield

Pain Assessment: Know Your Scales

ScaleUseKey Points
Numeric Rating Scale (NRS 0–10)Adults who can self-report; most commonly used0 = no pain; 10 = worst pain imaginable; ≤3 = mild; 4–6 = moderate; ≥7 = severe; reassess within 30–60 min after intervention
Visual Analog Scale (VAS)Adults who can self-report; research settings10 cm horizontal line; patient marks their pain level; more precise but requires fine motor ability
Wong-Baker FACES ScaleChildren 3+; adults with cognitive impairment, communication barriers0–10 faces from smiling to crying; child points to the face that shows how they feel
FLACC ScaleInfants and non-verbal children 2 months to 7 years; non-verbal adultsFace, Legs, Activity, Cry, Consolability; 0–2 for each; total 0–10
CPOT (Critical Care Pain Observation Tool)Critically ill and mechanically ventilated patientsFacial expression, body movements, muscle tension, compliance with ventilator or vocalization; 0–8 total; CPOT ≥3 indicates significant pain
BPS (Behavioral Pain Scale)Mechanically ventilated non-verbal patients (ICU)Facial expression, upper limb movements, compliance with ventilation; 3–12; ≥5 = pain

PQRSTU Pain Assessment Tool: Provokes/Palliates | Quality | Radiates/Region | Severity | Timing | Understanding (what does patient think is causing pain) + impact on activities

Pain is subjective: The patient's self-report is the gold standard. Do NOT assume a patient is not in pain because they appear calm, are sleeping, or do not look distressed. Behaviors vary with chronic vs acute pain.

WHO Analgesic Ladder

Originally developed for cancer pain; now applied broadly to guide escalation of pain management:

The ladder guides escalation ("by the ladder"), with medications given regularly on a schedule ("by the clock"), and appropriate to the patient ("by the patient/mouth").

Non-Opioid Analgesics

DrugDose (Adult)MechanismKey Nursing Points
Acetaminophen (Tylenol)325–1000 mg q4–6h; MAX 4g/day (3g/day in elderly, liver disease, alcohol use)Central COX inhibition; antipyreticCheck ALL sources of acetaminophen (combination OTC products); hepatotoxic in overdose; safe in renal disease; no anti-inflammatory effect
Ibuprofen (Advil/Motrin)400–800 mg q6–8h; MAX 3200 mg/day; with foodNon-selective COX-1/COX-2 inhibitor; anti-inflammatory, analgesic, antipyreticAvoid in renal impairment, GI ulcers, heart failure, elderly, >32 weeks pregnancy; GI protective agent (PPI/misoprostol) if long-term use
Ketorolac (Toradol)15–30 mg IV/IM q6h; MAX 5 days total; 30 mg IM single doseNSAID; parenteral NSAID for moderate–severe painDo NOT use >5 days (renal toxicity); avoid in elderly, renal disease, GI bleeding; potent anti-inflammatory; no opioid side effects (respiratory depression)
Celecoxib (Celebrex)100–200 mg BIDSelective COX-2 inhibitorLess GI risk than non-selective NSAIDs; cardiovascular risk; avoid in sulfa allergy
Gabapentin (Neurontin)100–900 mg TID (titrated)Calcium channel modulation; neuropathic pain adjuvantReduces opioid requirements; AVOID in CKD (renal dose adjustment); sedation, dizziness; preoperative dose reduces post-op opioid use
Pregabalin (Lyrica)50–300 mg BID–TIDSame as gabapentin; neuropathic painFibromyalgia, neuropathic pain; sedation; dose adjust for renal impairment; Schedule V controlled substance

Opioid Analgesics: Key Comparisons

OpioidRouteOnset (IV)DurationKey Facts
MorphinePO/IV/SQ/IM/epidural5–10 min IV3–6 hrReference opioid for equianalgesic calculations; active metabolite (M6G) accumulates in renal failure → prolonged effect; releases histamine → itching, hypotension
Hydromorphone (Dilaudid)PO/IV/SQ5 min IV3–4 hr5–10x more potent than morphine; less histamine release; good choice when morphine causes excessive itching or renal failure
FentanylIV/transdermal/buccal/intranasal/epidural1–2 min IV30–60 min IV100x more potent than morphine; lipophilic → rapid CNS entry; transdermal patch: onset 12–17 hr, do NOT apply heat; NO histamine release; good for hemodynamically unstable (less hypotension)
OxycodonePO (oral only); OxyContin = extended-releaseN/A PO; 10–15 min PO4–6 hr (IR); 12 hr (ER)~1.5x more potent than oral morphine; ER formulation must NOT be crushed (rapid release = overdose risk); frequently combined with acetaminophen (Percocet)
Tramadol (Ultram)PO30–60 min PO4–6 hrWeak opioid + NE/serotonin reuptake inhibition; lowers seizure threshold; serotonin syndrome risk with SSRIs/SNRIs/MAOIs; Schedule IV; max 400 mg/day
MethadonePO/IVComplex; variableVery long (24–36+ hr); accumulatesUsed for opioid dependence treatment + chronic pain; QTc prolongation; complex pharmacokinetics; NEVER start without equianalgesic expertise; dangerous in opioid-naive

Opioid Side Effects and Management

Side EffectPrevention/ManagementPriority?
ConstipationStimulant laxative from DAY 1 (senna); stool softener; docusate; adequate hydration and activity; methylnaltrexone (Relistor) for opioid-induced constipation; ONLY side effect with NO tolerance developmentUniversal; always address proactively
Nausea/vomitingOndansetron (Zofran), promethazine, prochlorperazine, scopolamine patch; tolerance usually develops within daysCommon; usually temporary
SedationReduce dose; switch opioids; add stimulant (methylphenidate); assess for other sedating medications; tolerance developsMonitor carefully; dose-dependent
Respiratory depressionMonitor RR, SpO2, sedation level; reduce dose; naloxone reversal; keep Narcan at bedside for high-risk patientsMOST SERIOUS; assess q1–2h when initiating or increasing dose
Pruritus (itching)Diphenhydramine (Benadryl); hydroxyzine; switch to non-histamine releasing opioid (fentanyl, hydromorphone); low-dose naloxone infusion; nalbuphineCommon with morphine, less with fentanyl
Urinary retentionBladder assessment q4h; bethanechol; in-and-out catheterization; switch opioids; reduce doseMonitor urine output; common in elderly males

Naloxone (Narcan) Administration

Naloxone is indicated for opioid-induced respiratory depression: RR <10, SpO2 <90%, pinpoint pupils, unresponsive — classic opioid overdose triad.

Multimodal Analgesia (Gold Standard Approach)

Multimodal analgesia uses multiple drug classes and non-pharmacologic strategies to achieve pain control while minimizing opioid use and side effects. Evidence shows it reduces opioid consumption by 30–50% in surgical patients:

Enhanced Recovery After Surgery (ERAS) protocols use multimodal analgesia as a cornerstone — scheduled non-opioids start pre-operatively, opioids are used as rescue only. This approach significantly reduces hospital stay and opioid-related complications.

NCLEX High-Yield Points

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