Which of the following patients is the most appropriate candidate for Penthrox® as initial analgesia in the Emergency Department?
A. 17-year-old with an isolated ankle fracture; normal observations; pain score 7/10
B. 28-year-old with a displaced distal radius fracture; eGFR 44 mL/min/1.73 m²; pain score 8/10
C. 66-year-old with rib injury; clammy and light-headed; HR 58, BP 94/58; on bisoprolol; pain score 8/10
D. 35-year-old with shoulder dislocation; received Penthrox® yesterday; pain score 7/10
E. 42-year-old with a metacarpal fracture; eGFR 49 mL/min/1.73 m²; pain score 5/10
https://bnf.nice.org.uk/drugs/methoxyflurane/
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