Anesthesia question

[mahak]

Options:
A. Aspirin tablets
B. Diclofenac suppositories
C. Dihydrocodeine tablets
D. Patient-controlled analgesia (PCA) with morphine
E. Intercostal nerve blocks
F. Epidural analgesia
G. Carbamazepine
H. Paracetamol tablets
I. Diamorphine
J. Intramuscular pethidine

For each case below, choose the single most appropriate treatment from the above list of options. Each option may be used once, more than once, or not at all.

1. A 33-year-old man requires analgesia, following an exploratory laparotomy and splenectomy.
2. A 55-year-old woman, with terminal metastatic breast carcinoma requires long term analgesia following radical mastectomy.
3. A 40-year-old man complains of phantom limb pain following below-knee amputation.
4. A 25-year-old man underwent excision of a sebaceous cyst under local anesthesia. He uses salbutamol inhaler on a regular basis.
5. A 60-year-old man requires analgesia following a total thyroidectomy.

[guest2011]

answers given in Una Coales are:-
1. D
2. I
3. G
4. H
5. C

baffled me too...that's why I'm waiting till someone explains it


(2) diamorphine - because long-term analgesia needed and especially in palliative care..
- it is more fat soluble, hence more potent (via injections only) and hence lower doses required for analgesia compared to morphine..

(5) dihydrocodeine tabs - is it because of the powerful cough suppressant effect???