Medial Condylar Fracture of the Elbow Medication

Updated: Oct 10, 2018
  • Author: John D Kelly, IV, MD; Chief Editor: Craig C Young, MD  more...
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Medication

Medication Summary

The medications used in the management of elbow fractures include analgesics, either oral or parenteral. In addition, oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may confer some protection against the formation of heterotopic ossification. Conscious sedation may be required for the initial closed reduction of a fracture. Intravenous sedative and narcotic agents are commonly used to perform conscious sedation.

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Analgesics

Class Summary

Adequate analgesia is an important aspect of patient care. For mild to moderate pain, oral anti-inflammatory/analgesic medications are used. Parenteral analgesia is usually required for patients with severe pain.

Ibuprofen (Motrin, Ibuprin)

DOC for mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.

Oxycodone and acetaminophen (Roxicet, Percocet, Roxilox, Tylox)

Drug combination for moderate to severe pain.

Morphine sulfate (Astramorph, Duramorph, MS Contin, MSIR)

DOC for analgesia because of reliable and predictable effects, safety profile, and ease of reversibility with naloxone.

Various IV doses are used; commonly titrated until desired effect obtained.

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Benzodiazepines

Class Summary

Act in the spinal cord to induce muscle relaxation. Can provide proper sedation in order to achieve closed reduction of a fracture. Sedatives work synergistically with parenteral narcotic medications.

Midazolam (Versed)

Shorter-acting benzodiazepine sedative-hypnotic useful in patients requiring acute and/or short-term sedation. Also useful for its amnestic effects.

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