APO

Question 1

What is breakthrough pain?

Answer 1

A transient exacerbation of pain that occurs either spontaneously or in relation to a predictable or unpredictable trigger despite relatively stable and adequatly controlled BG pain.

Question 2

What information should be prescribed for breakthrough pain?

Answer 2

Name, dose, route, frequency, max dose, indication.

Question 3

What is the dose for breakthrough pain?

Answer 3

1/6th total daily opioid consumption.
If using breakthrough over 3 times per day, indicates that regular SR analgesic opioid was insufficient.

Question 4

What are three important prognostic factors for imminent decline?

Answer 4

Functional status, Admissions, Comorbidities.

Question 5

What are the short term signs of decline?

Answer 5

A - secretions, noisy breathing.
B - Resp distress, cyanosis
C: Pallor, grey, poor perfusion, CRT, Oedema, Tachy, hypotnesive, weak pulse
D - Decreased GCS< delirious, febrile
Eating and drinking: anorexia