Cancer/Palliative Care Flashcards
Treatment agitation
1) Haloperidol
2) Chlorpromazine or levomepromazine
Treatment hiccups
1) Chlorpromazine
Treatment secretions
1) Hyoscine hydrobramide
Treatment nausea due to decreased gastric motility
1) Metoclopramide or domperidine - do not use meto in bowel obstruction
Treatment nausea due to chemicals
1) Correct disturbance
2) Ondensetron
Treatment nausea due to raised ICP
1) Cyclizine
Breakthrough dose morphine
1/6 24h dose
Analgesia choice in CKD
Moderate - oxycodone
Severe - buprenorphine or fentanyl
Treatment metastatic bone pain
Strong opiod, radiotherapy or bisphosphonate
Increased opiod dose
Increase 30-50%
Convert codeine to oral morphine
Divide by 10
Convert morphine to oral oxycodone
Divide by 1.5/2
Convert morphine to SC morphine
Divide by 2
Convert oral morphine to SC diamorphine
Divide by 3
Convert oral oxycodone to SC diamorphine
Divide by 1.5
What tumour causes hypercalcaemia
Squamous cell lung cancer
bone mets and myeloma also cause
Identify neutropenic sepsis
Low neutrophil count and temp or signs sepsis
Treatment neutropenic sepsis
1) Piperacillin with tazobactan (tazocin)
Diagnose neoplastic spinal cord compression
MRI
Treatment neoplastic spinal cord copmression
High dose oral dexamathasone
and urgent oncology assessment for radiotherapy or surgery
Identify superior vena cava syndrome
Usually lung cancer (small cell)
SOB
Swelling face and arms
Visual disturbance
Treatment superior vena cava syndrome
Endovascular stenting
Radical chemo or radiotherapy
Alanie dye linked to
Bladder (transitional cell carcinoma)
HPV for cancer and warts
HPV 16 and 18 - cervical cancer
HPV 6 and 11 - warts
