Question

A 25-year-old man with known sickle cell disease presents to A&E with severe generalised bone pain typical of his previous vaso-occlusive crises. He is afebrile and haemodynamically stable. According to NICE CG143, what is the most appropriate initial approach to pain management?

Accepted Answer

Give strong opioid analgesia such as IV Morphine titrated to effect within 30 minutes of presentation, plus adjuncts.

Answer

Start low-dose oral Paracetamol only and observe.

Answer

Withhold opioids because of addiction risk and give NSAIDs only.

Answer

Admit and wait for haematology review before giving any analgesia.

Answer

Give intramuscular Morphine as first-line pain relief.

Practice question

A 25-year-old man with known sickle cell disease presents to A&E with severe generalised bone pain typical of his previous vaso-occlusive crises. He is afebrile and haemodynamically stable. According to NICE CG143, what is the most appropriate initial approach to pain management?