End of Life Care

Question 1

What are the 4 broad causes of N+V?

Answer 1

-Cerebral
-Toxic
-Gastric
-Vestibular

Question 2

What are the usual symptoms cerebral of N+V?

Answer 2

-N > V
-Timing and position dependent
-Headache, neuro symptoms

Question 3

What are the usual symptoms gastric of N+V?

Answer 3

-V > N
-Early satiety
-GI symptoms eg heartburn
-Vomiting relieves nausea

Question 4

What are the usual symptoms vestibular of N+V?

Answer 4

-N > V
-Movement / position dependent
-Hearing / dizziness affected

Question 5

What are the usual symptoms toxic of N+V?

Answer 5

-N > V
-Constant

Question 6

What are some causes of cerebral N+V?

Answer 6

-Raised ICP
-Primary CNS tumour
-Brain mets
-Intracranial haemorrhage
-Pain
-Anxiety / psychological

Question 7

What are some causes of gastric N+V?

Answer 7

-Bowel obstruction
-Gastroparesis
-Pancreatitis
-Hepatomegaly
-Gastroenteritis
-Ascites
-Constipation
-Dyspepsia

Question 8

What are some causes of vestibular N+V?

Answer 8

-Inner ear pathology
-Labyrinthitis
-Motion sickness
-Vertigo

Question 9

What are some toxic causes of N+V?

Answer 9

-Medication
-Uraemia
-Hypercalcaemia
-Hyponatraemia
-Hyperbilirubinaemia
-Infection
-Hyperglycaemia

Question 10

What are the 5 Priorities of Care for the Dying person?

Answer 10

-Recognise
-Communicate (w patient, family, and relevant teams)
-Involve (patient with care plan, wishes)
-Support (current and anticipated care needs)
-Plan and Do (Gold Standards framework?)

Question 11

What are the 4 types of anticipatory medications for EoL Care?

Answer 11

-Analgesic
-Anxiolytic
-Anti-emetic (broad-spectrum)
-Anti-secretory