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17th May 2025
An 84-year-old patient came in following a fall and long lie, and was brought in after carers found her on the floor at home.
An 84-year-old patient came in following a fall and long lie, and was brought in after carers found her on the floor at home. Pelvic x-ray found complex left pelvic fracture that will be conservatively managed. She has a history of schizophrenia, atrial fibrillation, osteoporosis, and osteoarthritis. She was prescribed Paracetamol 1 g four times daily, Ibuprofen 400 mg three times daily, and Lansoprazole 15 mg daily. Which additional opioid should she be prescribed?
Investigations:
| Haemoglobin | 105 g/L (130–180) |
| White cell count | 11.5 × 109/L (4.0–11.0) |
| Serum sodium | 140 mmol/L (137–144) |
| Serum potassium | 4.1 mmol/L (3.5–4.9) |
| Serum urea | 9.0 mmol/L (2.5–7.0) |
| Serum creatinine | 180 μmol/L (60–110) |
| Creatine kinase | 5820 (25-320) |
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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