Acute Caremiddle twist
A 74-year-old woman is being discharged from the emergency department after a fall at home with an undisplaced pubic ramus fracture on radiography. She can weight bear with a frame and her daughter will stay with her. She takes apixaban for atrial fibrillation and sertraline for depression, was admitted with a bleeding duodenal ulcer three years ago, and her estimated glomerular filtration rate is 34 mL/min/1.73 m2. Regular paracetamol alone has not controlled her pain. Which one of the following should be added to her discharge analgesia?