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afya Analgesia IUT

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20160425222543 Ben  
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oral ibuprofen ... Poor evidence for pain during ... Can help pain after
Topical lidocaine ... Poor evidence 
Intracervical mepivacaine 3% if needing dilatation etc (no adrenaline, 2mls of 3% is 60mg, well within safety limit)
(1kg/1litre=100% so 1g/1ml=100% so 30mg/1ml=3%)
10mg rectal diazepam if fits

atropine - use if bradycardia (P<40) - 500mcg IV or IM if IV not possible