Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment specialist Home Care pain in adults pain in children warning signs Outlook Underlying Cause Anatomy

Rib Contusion Home Care

Home care for a chest contusion includes:

Rib Contusion Pain in Adults

Medications commonly used to control pain and inflammation in adults with a chest contusion include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Rib Contusion Pain in Children

Common medications used at home for pain and fever in children with a chest contusion include:


Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.

Ibuprofen
Always follow the package instructions.

Naproxen

Rib Contusion Warning Signs

Notify your doctor if you have a chest contusion and any of the following:

Continue to Rib Contusion Outlook

Last Updated: Feb 14, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Rib Contusion References
  1. Aihara R, Millham FH, Blansfield J, Hirsch EF. Emergency room thoracotomy for penetrating chest injury: effect of an institutional protocol. J Trauma. 2001 Jun;50(6):1027-30. [11426116]
  2. Ferguson M, Luchette FA. Management of blunt chest injury. Respir Care Clin N Am. 1996 Sep;2(3):449-66. [9390891]
  3. Nagy KK, Krosner SM, Roberts RR, Joseph KT, Smith RF, Barrett J. Determining which patients require evaluation for blunt cardiac injury following blunt chest trauma. World J Surg. 2001 Jan;25(1):108-11. [11213149]
  4. Sartorelli KH, Vane DW. The diagnosis and management of children with blunt injury of the chest. Semin Pediatr Surg. 2004 May;13(2):98-105. [15362279]
  5. Wanek S, Mayberry JC. Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury. Crit Care Clin. 2004 Jan;20(1):71-81. [14979330]
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