An 80-year-old man with CFS 5, hip fracture, delirium (4AT 8), and CKD 3b (eGFR 32) has inadequate pain control on Paracetamol alone. What analgesic a...

Question

An 80-year-old man with CFS 5, hip fracture, delirium (4AT 8), and CKD 3b (eGFR 32) has inadequate pain control on Paracetamol alone. What analgesic approach is MOST appropriate?

Accepted Answer

Regional nerve block (fascia iliaca block) supplemented by cautious low-dose opioid with renal adjustment

Answer

Ibuprofen 400 mg TDS

Answer

Diclofenac suppositories

Answer

Tramadol 100 mg QDS

Answer

Withhold all analgesia

uk-dgm MCQ (SBA): Fascia Iliaca Block for Hip Fracture

An 80-year-old man with CFS 5, hip fracture, delirium (4AT 8), and CKD 3b (eGFR 32) has inadequate pain control on Paracetamol alone. What analgesic approach is MOST appropriate?