What medication is the most effective choice for treating pain associated with sickle cell crisis in a newly admitted 5-year-old child?
a. Morphine c. Ibuprofen
b. Acetaminophen d. Midazolam
ANS: A
Opioids, such as morphine, are the preferred drugs for the management of acute, severe pain, including postoperative pain, post-traumatic pain, pain from vaso-occlusive crisis, and chronic cancer pain. Acetaminophen provides only mild analgesic relief and is not appropriate for a newly admitted child with sickle cell crisis. Ibuprofen is a type of nonsteroidal antiinflammatory drug (NSAID) that is used primarily for pain associated with inflammation. It is appropriate for mild to moderate pain, but it is not adequate for this patient. Midazolam (Versed) is a short-acting drug used for conscious sedation, for preoperative sedation, and as an induction agent for general anesthesia.
You might also like to view...
The client drinks at least 12 colas every day. Today, he is unable to obtain his cola and is becoming more irritated and physically uncomfortable with each hour. The client is experi-encing signs of
1. relapse. 2. addiction. 3. crankiness. 4. intoxication.
A patient arrives in the emergency department after being burned in a house fire. The patient's burns cover the face and the left forearm. What percentage of burn does the patient have?
A) 10% B) 25% C) 9% D) 18%
To select a vein for an initial IV site, the best place to begin in a left-handed patient would be the:
1. antecubital vein of the right arm. 2. antecubital vein of the left arm. 3. forearm of the right arm. 4. forearm of the left arm.
A nonpregnant patient is diagnosed with bacterial vaginosis (BV). The nurse expects to administer:
1. Penicillin G (Bicillin) 2 million units IM one time. 2. Zithromax (Azithromycin) 1 mg p.o. b.i.d. for 2 weeks. 3. Doxycycline (Vibramycin) 100 mg p.o. b.i.d. for a week. 4. Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week.