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Zoe, a 6-year-old girl, is admitted to the ward with her parents on account of a fracture of her left shoulder following

Posted: Thu Jun 09, 2022 4:43 pm
by answerhappygod
Zoe, a 6-year-old girl, is admitted to the ward with her parents on account of a fracture of her left shoulder following a fall from a monkey bar at the playground. Zoe has lost a considerable amount of blood from her injury, but she is alert and oriented. She has been unsettled and crying uncontrollably.
2a). Discuss the pain assessment tool you will use to assess Zoe’s pain and the rationale for choosing this tool. (6 marks)
2b). Discuss two pharmacological and three non-pharmacological strategies to manage Zoe’s pain. (10 marks)
2c). In addition to Zoe’s routine analgesia (paracetamol and ibuprofen), she was prescribed 0.1mg/kg of oxycodone (2ml=2mg) prn 3-4 hourly postoperatively to manage her pain. At 15:00 hours, Zoe became unsettled although her routine analgesia was given an hour ago.
2ci). What will be your next line of action and why? (2 marks)
2cii). Using the APLS formula, calculate Zoe’s weight. (3 marks)
2ciii). Calculate the amount of oxycodone in mg and mls to administer per dose. (4 marks)