Buprenorphine

Buprenex

0.3mg/ml

0.005-0.01mg/kg SC, IM

every 12 hrs 

Butorphanol

Torbugesic

10mg/ml

0.1-0.4mg/kg SC, IM

every 6 hrs 

Fentanyl patch
(sustained analgesia)

Uncover 1/2 to 2/3 of a 25µ gm patch
Do not cut the patch as this alters the release rate.

Applied to the shaven thorax. Use a small amount of super glue to each corner to help adhesion. No bandage is required. You should apply the patch 3-4 hours prior to surgery. The patch is then removed 3-5 days later. Studies show steady serum levels that last at least 104 hours. Do not use heating pads because this will increase absorption.

Aspirin

baby aspirin

125gm/tablet

10mg/kg PO

every 48-72 hrs