General Pallaitve

Question 1

WHO analgesia ladder 3steps

Answer 1

Step 1 - non- opiates: PCM, NSAIDs

Step 2 - Weak opitotes: Codeine, dihydrocodine, Tramadol

Step 3 - Strong Opiotes: morphone

Question 2

Acute pain in palliative care

Answer 2

Subcut / Slow IV opiote - eg., 5mg morphine

Question 3

Neuropathic pain Rx?

Answer 3

Amitriptyline
Pregabalin
Gabapentin

Question 4

Raised intracrainial pressure pain Rx?

Answer 4

Dexamethasone 8-16mg OD

Question 5

Intestinal colic pain Rx?

Answer 5

antispasmodic e.g., Hyoscine butylbromide

Question 6

Muscular pain / muscullar spasms Rx?

Answer 6

TENs
Diazepam
Baclofen

Question 7

Unkown nausea in pallaitive pt Rx

Answer 7

Haloperidol +/- cyclizine

Question 8

Nausea b/c Hypercalcemia Rx?

Answer 8

Fluids
Bisphosphonates

Question 9

Metabolic cause of nausea Rx?

Answer 9

Haloperidol

Question 10

Intracrainial disease associated nausea?

Answer 10

cyclizine +/- deamethason

Question 11

Nausea from bowel obstruction due to mechanical bloackage Rx?

Answer 11

Cyclizine
Haloperiod / Levomepraomazine

Question 12

Nausea b/c Gastrostasis Rx?

Answer 12

Prokinetic - e.g., Metoclopramide
Domperidol –> if pt has too many side effect –> DA agonist –> side effect cardiac arrythmia.