Analgesia in the Emergency Patient
Dr Philip Judge BVSc MVS PG Cert Vet Stud MACVSc
What is the most common adverse side effect observed following fentanyl bolus injection?
a) Hypotension
b) Hypothermia
c) Bradycardia
d) Respiratory depression
e) Hypertension
Correct Answer - (d)
Which of the following statements regarding buprenorphine is incorrect?
a) Buprenorphine binds to the mu receptor with 30 times the affinity of morphine
b) Buprenorphine is regarded as a partial mu agonist
c) Buprenorphine produces mild respiratory depression
d) Buprenorphine has a rapid onset of action, making it ideal for acute analgesia provision
e) Buprenorphine efficacy plateaus as the dose given increases
Correct Answer -(d)
Which of the following statements regarding ketamine is incorrect?
a) Ketamine is an NMDA receptor antagonist
b) Ketamine continuous infusions are absolutely contraindicated in CNS disease
c) Ketamine possessed mild anti-inflammatory effects
d) Ketamine boluses can produce mild sympathetic-mediated tachycardia and hypertension
Correct Answer -(b)
Which of the following opioids has been shown to elicit additional analgesic effects when administered with local anaesthetic at a peripheral nerve
a) Morphine
b) Butorphanol
c) Methadone
d) Buprenorphine
Correct Answer -(d)
Which of the following types of analgesia would be most appropriate for the emergency management of pericardial effusion causing severe circulatory compromise?
a) Dexmedetomidine infusion + lidocaine infusion
b) Methadone intravenous bolus
c) Morphine intravenous bolus plus CRI
d) Lidocaine intercostal nerve block and butorphanol or fentanyl bolus
e) Ketamine bolus plus CRI and lidocaine intercostal nerve block
Correct Answer -(d)
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