Which PRN pain order would you likely question for an 8-year-old patient in the PACU?

Considering the context of caring for an 8-year-old patient in the Post-Anesthesia Care Unit (PACU), the most appropriate response is that the recommended PRN pain order of PO ketorolac raises questions. Ketorolac, a nonsteroidal anti-inflammatory drug (NSAID), is generally not recommended for use in pediatric patients under certain conditions due to potential risks.

In children, especially those recovering from surgery, there are specific considerations pertaining to the use of NSAIDs like ketorolac, including the potential for gastrointestinal complications and its effects on renal function. Additionally, ketorolac is typically used for more severe pain management, which may not be the most suitable choice for an 8-year-old, particularly when other safer options are available.

In contrast, both IV morphine and IV hydromorphone are commonly utilized for managing acute pain in the PACU, especially in children who may require stronger pain relief post-operatively. PO acetaminophen is a widely accepted option for pain management in pediatric patients due to its safety profile and effectiveness for mild to moderate pain. Given these considerations, questioning the use of PO ketorolac for an 8-year-old in the PACU is warranted.