Analgesics and antipyretics — branching viva

A five-year-old is admitted overnight after a fall from play equipment with a greenstick fracture of the radius, and is also mildly febrile with a viral upper respiratory tract infection. The examiner releases information in stages. The candidate must choose and dose the analgesic and antipyretic, work the weight-based paracetamol and ibuprofen doses aloud and apply the adult cap, take a position on alternating agents, respect the aspirin and codeine restrictions, escalate to an opioid for severe pain with the right monitoring, and recognise the signs that would prompt naloxone.