Free practice question: Refractory vaso-occlusive pain
Question 3 of 25 in the free Starter set. Single best answer, three options, like the real exam.
A 24-year-old man with sickle cell disease (HbSS) is admitted with a vaso-occlusive pain crisis. After 36 hours of IV hydromorphone by patient-controlled analgesia, dosed to account for his home opioid requirement, plus scheduled acetaminophen and ketorolac, his pain remains 9/10, and further opioid increases make him sedated. He has no acute chest syndrome. According to the 2020 ASH guideline, which adjunct is most appropriate?
Review the topic: Sickle cell disease pain: acute crisis and chronic pain · Acute and perioperative pain, including opioid-tolerant patients · Ketamine infusions for acute and chronic pain
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