Cancer pain management Flashcards
1
Q
71M
low back pain
pain with movement
nocturnal pain impairs sleep
ibuprofen - 3 times a day
Hx of prostatic cancer - take - Leuprolide
no reflex impairment
what is the next step for pain Mx ?
A
short acting opioid
2
Q
Dx of this pt ?
A
bone metastases from prostatic cancer
3
Q
mild cancer pain Mx ?
A
non-opioids
acetaminophen
NSAIDS
4
Q
moderate cancer pain Mx ?
A
weak O
codeine
hydrocodone
tramadol
5
Q
severe cancer pain Mx ?
A
short acting opioids
morphine
hydromorphone
6
Q
severe cancer pain management further ?
A
calculate total daily dose and covert to long acting ftormulation
fentanyl patch
oxycodone
+
short acting opioids for - breakthrough pain
