Heart failure analgesia — GPhC CRA MCQ
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Educational content. Not a substitute for clinical judgement or local policy.
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Correct answer: D — Paracetamol with non-pharmacological measures and prescriber review if inadequate
NSAIDs can worsen heart failure and renal function, especially with renin-angiotensin system drugs and diuretics. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.
Reference: BNF; NICE CKS