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(See the section Antimicrobial Dressings at the end of this chapter.) CLINICAL CONSIDERATION The following guidelines for pain medications to take effect are helpful in minimizing pain during dressing changes: Oral medications30 minutes before treatment IM injections10 minutes before treatment IV injectionsimmediately before treatment Topical anesthetics1520 minutes before treatment Topical injectionsonly by MD TENSplace proximal to wound during debridement Every patient has an acceptable level of pain, and every treatment plan includes strategies to mitigate or eliminate pain to the extent possible, or at least to the patients acceptable level

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