A 50-year-old man on ICU has acute liver failure (INR 4.5, bilirubin 350 µmol/L, encephalopathy grade 3). He requires analgesia for abdominal pain. Wh...

Question

A 50-year-old man on ICU has acute liver failure (INR 4.5, bilirubin 350 µmol/L, encephalopathy grade 3). He requires analgesia for abdominal pain. Which of the following analgesics should be avoided?

Accepted Answer

IV codeine phosphate 30 mg QDS

Answer

IV paracetamol at a reduced dose of 500 mg QDS

Answer

IV morphine at reduced dose and extended intervals

Answer

IV fentanyl infusion with careful titration

Answer

IV paracetamol at standard dose of 1 g QDS

uk-fficm MCQ (SBA): Acute Liver Failure

A 50-year-old man on ICU has acute liver failure (INR 4.5, bilirubin 350 µmol/L, encephalopathy grade 3). He requires analgesia for abdominal pain. Which of the following analgesics should be avoided?