Topical Steroids

Low Potency: Class 7 Hydrocortisone acetate 0.5% – 1% Class 6 Desonide 0.05% Fluocinolone 0.01% cream Medium Potency: Class 5 Hydrocortisone valerate 0.2% cream or butyrate 0.1% cream / ointment Traimcinolone 0.1% cream / lotion Fluocinolone 0.025% cream Class 4 Hydrocortisone valerate 0.2% ointment Fluocinolone 0.025% ointment High Potency: Class 3 Betamethasone 0.05% cream Traimcinolone acetonide 0.5% cream Class 2

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Opiate Equivalence

Given the national shortage of varying opiates, you may find this information helpful: IV equianelgesic: Morphine 4mg – typically given 4-8mg Hydromorphone (Dilaudid) 0.6 mg – typically given 0.5-1 mg Fentanyl 40mcg (0.4mg) – typically given 50-100 mcg PO equianalgesic: Morphine sulfate 5mg Hydrocodone 5mg Oxycodone 5mg Tramadol 50mg Hydromorphone (Dilaudid) 1.25mg Source: American Pain Society

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Tranexamic Acid (TXA)

Tranexamic acid is a synthetic form of lysine, an amino acid. It is classified as an “anti-fibrinolytic” which means it is a  pro-coagulant. It binds to receptors on plasmin preventing it from breaking down fibrin clots. Tranexamic acid was originally discovered in 1962 and is currently on the World Health Organization’s list of Essential Medicines.  The drug has been studied

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