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Geriatrics > Ger 14 Palliative Care > Flashcards

Ger 14 Palliative Care Flashcards

1
Q

True or False: pallative care is to improve the quality of life by communicating with patients AND their families.

A

True

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2
Q

What 2 treatments should you consider if the pt is suffering from anorexia and cachexia?

A

Megestrol acetate

Dexamethasone

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3
Q

What 2 treatments if the pt exhibits restlessness, agitation, insomnia, hyperventilation, tachycardia, or excessive worrying?

A

Counseling

Short-acting benzo’s

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4
Q

What 2 things should u question if the pt has constipation?

A

is the pt taking opioids or has a fecal impaction

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5
Q

What is the treatment process for constipation?

A

prescribe a stool softener + escalating doses of a stimulant

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6
Q

If escalating doses of a stimulant are ineffective in treating constipation, what drug classes should be added to the treatment?

A

osmotic laxatives and enemas

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7
Q

If a pt starts to express depression, what treatments are available?

A

Psychotherapy/cognitive/behavioral therapies

Medications

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8
Q

Which class of antidepressants work within days?

A

Psychostimulants

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9
Q

Which class of antidepressants take 3-4 weeks to take effect?

A

SSRI’s

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10
Q

Which class of antidepressants are contraindicated because of their side effects?

A

Tricyclics

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11
Q

In the delirious patient, in addition to lifestyle changes, what 3 drugs can u prescribe?

A

Haloperidol
Risperidone
Olanzapine

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12
Q

What is the first line treatment for the dyspnea pt?

A

Oxygen

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13
Q

Yeah this is weird, but which branch of the trigeminal nerve can u stimulate to provide symptomatic relief for the dyspnea pt?

A

V2

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14
Q

Which drugs relieve breathlessness without measurable reductions in respiratory rate or oxygen saturation?

A

Opioids

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15
Q

Where should treatment be directed in the nauseous pt?

A

the underlying cause

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16
Q

What 2 drugs can u give for the treatment of mild pain?

A

Acetaminophen or NSAID

17
Q

What drug do u give for moderate pain?

A

Titrate short-acting opioids

18
Q

You should rapidly titrate short-acting opioids if the patient has what kind of pain?

A

Severe pain

19
Q

Once pain is controlled with the opidoids in severe pain, what drug is indicated?

A

Methadone

20
Q

In rescure doses for pain, what % of of the 24-hour total opioid dose is to be given every hour?

A

10%

21
Q

What should be used in addition to opioids during rescue doses?

A

concomitnant analgesics

22
Q

What mainly happens during the early stage in the goals of care in pallative medicine?

A

basically just diagnosis, prognosis, goals, hopes and expectations for treatments

23
Q

What 2 things must you evaluate the patients understanding of during the middle stage of the goals of care for pallative services?

A

Understanding of the prognosis and the benefits-to-burden ratio for treatments

24
Q

In the late stage in the goals of care for pallative services, what is the main thing to help the pt plan for?

A

Death lol

25
Q

During the early stage of programmatic support, what 2 things do you advise the pt to sign up for?

A

Visiting nurse/home services

Case management services

26
Q

What program do you encourage during the middle stage of programmatic support?

A

pallative care program

27
Q

Where do you consider placing a pt in the late stage of programmatic support?

A

Nursing home

28
Q

During the early stage of financial planning, you advise financial and insurance support and referral to what person to help with that?

A

Lawyer

What’s the difference between a catfish and a lawyer?

One is a bottom-dwelling scum-sucker and the other one is just a fish.

29
Q

The middle stage of financial planning asseses the adequacy of planning for financial, medical, home care, prescription, long-term care, and family support, which all should start considering eligability for what?

A

Medicaid

30
Q

What do you inform patients and families about in the early stage of family support?

A

Support groups

31
Q

During the late stage of family support, you encourage who to visit because of the likely end for the pt?

A

Out-of-town family

Geriatrics (15 decks)

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