1. The subcutaneous opioid algorithm may be used in the following areas:
- Children’s ward
- ITU, SHDU, Theatres and Recovery areas.
2. Morphine is the opioid of choice.
3. In the following children, CAUTION should be exercised and the opioid dose should be reduced:
- Children with renal impairment
- Children with liver failure
- Children at risk of airway obstruction
The following children are NOT SUITABLE for the opioid algorithm:
- Children with oedema or poor skin condition at the injection site
- Children with poor peripheral circulation (altered drug absorption)
- Children with head injuries
- Children whose pain is of a chronic non-malignant nature.
4. All children should have patent intravenous access.
5. Nursing staff should be competent in the use of the opioid algorithm and have attended In-service training on its use.
6. All areas must have NALOXONE (0.4mg ampoule) immediately available.
SUB- CUTANEOUS OPIOID ALGORITHM
ALWAYS USE THIS ALGORITHM PRIOR TO ADMINISTERING AN OPIOID