Pain Relief (Paed)

Question 1

Recite the Pain Relief CPG for paeds

Answer 1

Question 2

What are the key components of pain assessment?

Answer 2

• Pain scale score
• Physical signs of discomfort
• Acute vs chronic pain
• Analgesia already taken
• Opioid tolerance
• Co-morbidities

None

Question 3

What non-pharmacological pain relief options should be considered for all patients?

Answer 3

• Splinting
• Cold/heat therapy
• Positioning

None

Question 4

What is the oral paracetamol dose for a child < 12 years?

Answer 4

15 mg/kg oral

None

Question 5

What dose of paracetamol should an adolescent (12–15 years) < 60 kg receive?

Answer 5

500 mg oral

None

Question 6

What dose should be given to an adolescent ≥ 60 kg?

Answer 6

1000 mg oral

None

Question 7

When should you escalate to moderate pain management?

Answer 7

If pain is not controlled or rapid relief is required

None

Question 8

What is the IN fentanyl dose for a small child (10–17 kg)?

Answer 8

25 mcg IN

None

Question 9

What is the IN fentanyl dose for a medium child (18–39 kg)?

Answer 9

25–50 mcg IN

None

Question 10

What is the IN fentanyl dose for an adolescent (≥ 40 kg)?

Answer 10

50–75 mcg IN

None

Question 11

How often can IN fentanyl doses be repeated?

Answer 11

Every 5–10 minutes, max 3 doses before consultation

None

Question 12

What should be considered alongside fentanyl for moderate pain?

Answer 12

Paracetamol, if not contraindicated

None

Question 13

What is the methoxyflurane dose for moderate pain?

Answer 13

3 mL inhaled, repeat once (max 6 mL)

None

Question 14

What is the first-line treatment for severe pain?

Answer 14

Fentanyl IN ± Methoxyflurane as per moderate pain

None

Question 15

What should you do if pain persists despite fentanyl?

Answer 15

Consult and consider IV ketamine or morphine

None

Question 16

What is the ketamine IV dose for adolescents?

Answer 16

0.25 mg/kg IV every 5–10 mins, max 0.5 mg/kg

None

Question 17

What is the morphine IV dose range for adolescents?

Answer 17

0.05–0.1 mg/kg IV (max single dose 5 mg)

None

Question 18

How often can morphine IV be repeated?

Answer 18

0.05 mg/kg IV every 5–10 minutes

None

Question 19

What is the max morphine dose allowed without consultation?

Answer 19

0.2 mg/kg

None

Question 20

What is the ketamine IV dose for children < 12 years?

Answer 20

0.25 mg/kg IV every 5–10 mins, max 0.5 mg/kg

None

Question 21

What is the morphine IV dose for children < 12 years?

Answer 21

0.05–0.1 mg/kg IV (max single dose 5 mg)

None

Question 22

How often can morphine IV be repeated in a child?

Answer 22

Repeat 0.05 mg/kg IV every 5–10 mins

None

Question 23

What is the maximum total morphine dose without consultation?

Answer 23

0.2 mg/kg

None