Pain relief treatment

Question 1

Adults - mild pain

Answer 1

Paracetamol 1000mg oral (500mg for elderly)

Question 2

Adults - moderate pain (IV available)

Answer 2

Morphine 5mg (IV), 5 minute intervals, check after 20mg
Fentanyl 50mcg (IV), 5 minute intervals, check after 200mcg

Question 3

Adults - moderate pain (IV N/A)

Answer 3

Fentanyl 200mcg (IN), repeat 50mcg every 5 minutes, consult after 400mcg
Fentanyl 100mcg (IN), repeat 50mcg every 5 minutes, consult after 200mcg (elderly)

Question 4

Adults - moderate pain (IV+IN N/A)

Answer 4

Methoxyflurane 3mL inhaled, repeat once if needed

Question 5

Adults - severe pain

Answer 5

Refer to moderate pain
Last resort:
Morphine 10mg IM, repeat 5mg IM if required
Morphine 0.1mg/kg IM, singe dose only (elderly)

Question 6

Paeds - mild pain

Answer 6

Paracetamol 15mg/kg

Question 7

Paeds - moderate pain

Answer 7

Fentanyl (IN), repeat dose at 5-10 minute intervals, consult after 3 doses
(10-17kg) 25mcg IN
(18-39kg) 25-50mcg IN
Methoxyflurane 3mL (6mL max)

Question 8

Paeds - severe pain

Answer 8

Fentanyl (IN) and/or methoxyflurane as per moderate