mrcem2-1507

mrcem2-1507

A 3-year-old girl is hit by a car while crossing the street. She is brought to the resus area of your Emergency Department by a blue light ambulance. A trauma call is initiated, and a primary survey is conducted. She is stable hemodynamically, and the only abnormality found is a severely swollen and deformed left thigh area. An X-ray is taken, which shows a fracture in the proximal femoral shaft. The child is experiencing significant pain, and you decide to apply skin traction to immobilize the fracture. You also plan to administer a dose of intranasal diamorphine.
The child weighs 15 kg. What is the appropriate dose of intranasal diamorphine to administer?