Brain Tweezers – Pain solutions in the pharmacy part 2 July 30, 2015 by PA News This one is a tough one! Do you know about managing pain? 18-year-old Lisa has been suffering abdominal cramps, nausea, fatigue and a headache since she woke up this morning. What is the next step? Ask the protocol questions. Ask if she is currently menstruating. Ask if she has tried using a heat pack to lessen the cramping. Ask if she practices safe sex. You find out from your questioning that Lisa is currently menstruating, not allergic to any medication, not sexually active, and has no chronic medical conditions. Which of the following is the best recommendation? A product containing ibuprofen A product containing paracetamol A product containing codeine A product containing hyoscine On recommending the ibruprofen, Lisa lets you know that it’s what she usually takes, but it made her feel more nauseous this time. What should you do? Let her know to eat food before she takes it next time. Recommend a codeine product instead. Refer to the pharmacist. Tell her to go home and sleep it off. The pharmacist consults with Lisa, recommends the ibuprofen and asks you to recommend some other products to make her more comfortable. What do you recommend? Magnesium supplement A heat rub Heat pack All of the above Loading … Share on FacebookShare on TwitterShare on Linkedin