Available Until 12/10/2024

Alternative Routes of Administration for Acute Pain Management

ACPE Activity Number: 0204-0000-22-165-H01-P
Release Date: 12/10/2022
Expiration Date: 12/10/2024
Activity Type: Knowledge-based
CE Credits:  0.25 contact hour, no partial credit
Activity Fee: Member – Free / Non-Member – Not Available 

Activity Overview 

Many clinical scenarios require pain management in the setting of limited intravenous and enteral administration availability. However, the optimal agent, route, and dosing is often not known outside of the pediatric setting. This knowledge will improve patient care in the acute care and palliative care settings. Painful conditions often require emergent analgesic therapy when limited routes of administration are available. This podcast will discuss alternate routes of administration and which agents are best utilized in different clinical scenarios.   

The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

These activities were planned to meet the educational needs of healthcare team members in the acute care and prehospital setting that manage emergent analgesic therapy.  

After participating in this CPE activity, participants should be able to:

  • Describe the use of oral ketamine and nitrous oxide for acute pain conditions and anxiolysis.
  • Discuss why certain medications are best administered intranasally based on their absorption characteristics. 

  • Introduction and Announcements 

  • Presentation  

Jenny Koehl, BCPS
Emergency Medicine Clinical Pharmacist
PGY-2 EM Residency Director
Massachusetts General Hospital
Boston, MA 02114  

Megan Musselman, PharmD, MS, BCPS, BCCCP, DPLA, FCCP
Emergency Medicine Clinical Pharmacist
PGY2 EM Residency Program Director
North Kansas City Hospital
North Kansas City, MO 

Jessica Nesheim, PharmD, BCPS
Emergency Medicine Pharmacy Specialist
MercyOne Des Moines Medical Center 

In accordance with our accreditor’s Standards of Integrity and Independence in Accredited Continuing Education, ASHP requires that all individuals in control of content disclose all financial relationships with ineligible companies. An individual has a relevant financial relationship if they have had a financial relationship with an ineligible company in any dollar amount in the past 24 months and the educational content that the individual controls is related to the business lines or products of the ineligible company. 

An ineligible company is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The presence or absence of relevant financial relationships will be disclosed to the activity audience. 

  • No one in control of the content of this activity has a relevant financial relationship (RFR) with an ineligible company. 

Per ACPE requirements, CPE credit must be claimed within 60 days of being earned. Once you have processed and claimed your CE credit, we encourage you to check your NABP eProfile account to verify your credits were transferred successfully before the ACPE 60-day deadline. It is an electronic direct-report process so your credits should appear in your account within a few minutes. After the 60 day deadline, ASHP will no longer be able to report your credit(s) for this activity.