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
b. Acetaminophen
c. Ibuprofen
d. Midazolam
A
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A Opioids, such as morphine, are the preferred drugs for the management of acute,
severe pain, including postoperative pain, posttraumatic pain, pain from
vaso-occlusive crisis, and chronic cancer pain.
B Acetaminophen provides only mild analgesic relief and is not appropriate for a
newly admitted child with sickle cell crisis.
C 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 is not adequate for this patient.
D Midazolam (Versed) is a short-acting drug used for conscious sedation,
preoperative sedation, and as an induction agent for general anesthesia.
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