Question

A 74-year-old woman with metastatic lung cancer has severe pain despite regular modified-release Morphine and breakthrough doses. She remains alert but is distressed. What is the most appropriate next step in pain management?

Accepted Answer

Increase the regular Morphine dose based on total opioid use over the previous 24 hours

Answer

Stop Morphine and start strong NSAIDs only

Answer

Give intravenous Paracetamol only

Answer

Switch immediately to Fentanyl patch without calculation

Answer

Avoid further opioids due to risk of dependence

Practice question

A 74-year-old woman with metastatic lung cancer has severe pain despite regular modified-release Morphine and breakthrough doses. She remains alert but is distressed. What is the most appropriate next step in pain management?