pain relief

Question 1

mild pain relief

Answer 1

Paracetamol 1000mg (500mg elderly/frail)

Question 2

IV pain relief

Answer 2

Morphine:
5mg (0.5mLs) 5/60, consult at 20mg

Fentanyl:
50mcg (1mL), 5/60, consult at 200mcg

Question 3

Paracetamol

Answer 3

Contraindications:

1. Hypersensitivity
2. <1 month old
3. Administered in the last 4 hours
4. Max dose in the last 24 hours
5. Chest pain associated with ACS

Question 4

Methoxyflurane

Answer 4

Contras:

1. Concurrent use of tetracycline antibiotics
2. Malignant hyperthermia
3. Administered in the last 24 hours
4. Renal impairment
5. Muscular dystrophy

Question 5

Moprhine

Answer 5

Contras:

1. Hypersensitivity
2. Late second stage labour
3. Renal impairment/failure

Question 6

Fentanyl

Answer 6

Contras:

1. Hypersensitivity
2. Late second stage labour

Question 7

Ketamine

Answer 7

Contras:

1. Hypersensitivity
2. Suspected non-traumatic brain injury with severe hypertension

Question 8

IN pain relief

Answer 8

Fentanyl
200mcg (4mL), 50mcg 5/60, max 400mcg
E/F: 100mcg (2mL), 50mcg 5/60, max 200mcg

Ketamine
75mg (0.85mL), 50mg 20/60
E/F: 50mg (0.60), 25mg 20/60

Question 9

IM pain relief

Answer 9

Morphine:
10mg (1mL), 5mg 15/60 once
E/F: 01.mg/kg single dose

Fentanyl:
100mcg (2mL), 50mcg 15/60 once
E/F: 1mcg/kg single dose