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Case Studies
HOW TO MAKE IT WORK FOR YOUR PATIENT
Case Study 1
 35 yo man at day surgery ward
 Just had staple hemorrhoidectomy surgery
 No medical history, no drug allergies
 1.1 What analgesics would you prescribe? Write down
your actual prescription (route, drug, dosage, frequency)
Case Study 1
 He was served a dose of Paracetamol 1g, and Celecoxib
200mg
 4 hours later, he still complains of a pain score of 7/10
 1.2 What would you do before prescribing additional
analgesics?
 1.3 What additional analgesics would you prescribe?
Write down your actual prescription (route, drug, dosage,
frequency)
Case Study 2
 81 year old, 48kg lady with a left hip fracture is in the
orthopaedic general ward awaiting emergency hip surgery
 She has hypertension on atenolol & enalapril, minor coronary
artery disease on aspirin, and diabetes on metformin &
glipizide. Her creatinine is 99 μmol/L
 She c/o a pain score of 8/10 at her left hip
 2.1 Would you give her NSAIDs & why?
 2.2 Would you give her opioids & why?
 2.3 What analgesics would you prescribe? Write down your
actual prescription (route, drug, dosage, frequency)

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Intro to Acute Pain- Case Studies

  • 1. Case Studies HOW TO MAKE IT WORK FOR YOUR PATIENT
  • 2. Case Study 1  35 yo man at day surgery ward  Just had staple hemorrhoidectomy surgery  No medical history, no drug allergies  1.1 What analgesics would you prescribe? Write down your actual prescription (route, drug, dosage, frequency)
  • 3. Case Study 1  He was served a dose of Paracetamol 1g, and Celecoxib 200mg  4 hours later, he still complains of a pain score of 7/10  1.2 What would you do before prescribing additional analgesics?  1.3 What additional analgesics would you prescribe? Write down your actual prescription (route, drug, dosage, frequency)
  • 4. Case Study 2  81 year old, 48kg lady with a left hip fracture is in the orthopaedic general ward awaiting emergency hip surgery  She has hypertension on atenolol & enalapril, minor coronary artery disease on aspirin, and diabetes on metformin & glipizide. Her creatinine is 99 μmol/L  She c/o a pain score of 8/10 at her left hip  2.1 Would you give her NSAIDs & why?  2.2 Would you give her opioids & why?  2.3 What analgesics would you prescribe? Write down your actual prescription (route, drug, dosage, frequency)