CCC Palliative care

Question 1

Controlled drug prescription example MST

Answer 1

MST continuous tablets.
Take 30mg every 12 hours
Supply 14 (fourteen) 30mg tablets

Question 2

Controlled drug prescription example Oramoprh

Answer 2

Morphine sulphate 10mg/5mL oral solution.
Take 10mg up to one hourly as required for pain.
Supply 100 (one hundred) mL

Question 3

How do you calculate breakthrough morphine dose

Answer 3

1/6th total for 24hrs

Question 4

Side effects morphine

Answer 4

Nausea, constipation and drowsiness

Question 5

Anticipatory drugs

Answer 5

Midazolam
Diamorphine
Levomepromazine
Hyoscine butylbromide

Question 6

Dilutent for syringe drivers

Answer 6

Water for injection

Question 7

WHO analgesic pain ladder

Answer 7

Paracetamol
Weak opiates e.g. codeine
Strong opiates e.g. Morphine

Question 8

Appropriate starting dose MST and breakthough for someone on co-codamol 30/500 x2 QDS

Answer 8

Anything sensible e.g. MST 15mg BD and 5mg Oramorph