CCC Flashcards
PET scans are only offered to px
undergoing curative tx
(determine malignant hotspots & monitor response to tx)
antiemetic 1st choices
palliative care - cyclizine (H1)
chemo/radio induced - ondansetron (5HT3)
gastric stasis - metoclopramide (D2)
opioid options in renal compromise
mild - oxycodone
severe - buprenorphine patches, alfentanil
breast metastases –> brain route
(most common route for distant metastasis to spread)
haematogenous
blood transfusion threshold in mormocytic anaemia
Hb<80
no signs ACS
neutropenic sepsis meds
tazocin (ciprofloxacin if pen. allergic)
meropenem & vancomycin 48hrs later if fever persists (MRSA cover)
chemotherapeutic causing haemorrhagic cystitis (dysuria, frequency, haematuria) 24-48hrs later
Cyclophosphamide
pyrimidine antagonist associated with palmar–plantar erythrodysesthesia.
Gemcitabine
chemotherapeutic causing reversible peripheral neuropathy & nephrotoxicity
cisplatin
chemo, pulm fibrosis & oedema
Melphalan
chemo nail changes
taxane
anxiolytics used
morphine
midazolam
palliative care SOB/pain control if renal impairment
oxycodone (not morphine)
hiccups in palliative care
chlorpromazine or haloperidol
N/V due to gastric stasis
metoclopramide
add this to syringe drivers for biliary colic & respiratory secretions
hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide
how might raised IC pressure present on C
hypodense lesions within the brain with surrounding vasogenic oedema
peripheral neuropathy & urinary hesitancy secondary to bladder atony are SEs of what chemo
Vincristine
bone mets often originate from
prostate/breast –> lung
1st line agitation med vs terminal care agitation med
PO haloperidol
SC midazolam
cardiomyopathy chemo
Anthracyclines (e.g. doxorubicin)
painful mouth that may occur at the end of life
Benzydamine hydrochloride mouthwash or spray
x-ray spine fractures in MSCC
vertebral wedge compression fractures and focal sclerotic bony lesions
blood test prognostic in cancers
FBC (anaemic –> worried)
spasmodic pain tx in palliative care px
doazepam
syndrome associated with breast cancer, osteosarcoma & soft tissue sarcomas
Li-Fraumeni syndrome
confusion bloods
FBC, U&Es, LFTs, coag/INR, haematinics, TFTs, bone profile, glucose & blood/urine culture,
1st line abx for animal bites
co-amoxiclav
anti-emetic in renal impairment
haloperidol
laxative to give when a softner required (ie no need to change number of stools, just make it easier/less painful to pass stool)
docusate capsules
remember anyone with mesothelioma who dies then
refer to coroner
diuretic that is common cause of hyponatraemia
thiazide diuretics
normal spirometry results
FEV1 & FVC >80% & normal FEV1:FVC (>70%)
when would u not use Q-risk
CKD
cardioprotective anti-diabetic med
SGLT2 (-flozin)
DDx 23 year old male student, constant localised pain LT anterior chest wall. Anxious, feels has to ‘catch breath’ sometimes, but able to run 5k without undue SOB. Sats 99%. HR 70. Palpation reproduces symptoms
costochondritis
barthel index
measure performance of ADLs
possible causes of hallucinations in elderly with cancer
opiate toxicity
mets
hypercalcaemia
infections
DOAC monitoring
at start then annually
statin monitoring
start, 3 months, annually
med for diabetic neuropathy
duloxetine
how to measure central adiposity
waist:height
consideration for referral for oral tx psoriasis
severe // >10% // scalp psoriasis
when to turn PRN subcut into dyringe
if needing repeated (>2 in 24hrs)
stage 1-2 NSCLC tx
surgery (if not then radio)
localised prostate cancer tx
radical prostectomy or radio or surgery then radio
advanced prostate cancer tx
hormonal (goserelin/buserelin)
prostate cancer with mets tx
radio
