L19 Supportive Care

Question 1

bulk forming laxatives eg. + dose

Answer 1

fybogel, metamucil

- 1 sachet BD

Question 2

stimulant laxatives eg. + dose

Answer 2

senna: 2-4 tabs daily. bisacodyl: 5-10mg ON, up to 20mg OD

Question 3

osmotic laxatives eg. + dose

Answer 3

lactulose: 10-15ml BD, forlax, phosphate enemas, PEG

Question 4

most commonly used diarrhea drugs

Answer 4

lomotil (diphenoxylate/atropine), imodium (loperamide HCl)

Question 5

liver disease, use which diarrhea drug

Answer 5

loperamide

Question 6

dyspnea mgmt: which opioids to use for pt w renal impairment

Answer 6

fentanyl

Question 7

who should be assessed for depression

Answer 7

all pt

Question 8

antidepressants that cause QTc prolongation

Answer 8

escitalopram, amitryptiline

Question 9

antidepressant that lower seizure threshold

Answer 9

bupropion

Question 10

common cause of delirium, particularly in elderly

Answer 10

opioid toxicity

Question 11

what kind of diet should a pt prone to I/O or GOO (gastric outlet obstruction) be advised to take?

Answer 11

low residue/fiber diet - can form bulk

Question 12

which chemo drug may cause of the most severe diarrhoea?

Answer 12

irinotecan

Question 13

nebulised NaCl 0.5% for treatment of secretory dyspnea is only useful if`

Answer 13

if pt can expectorate

Question 14

antiemetic drugs are chronic/prn?

Answer 14

chronic!!1

Question 15

who should be assessed for depression?

Answer 15

all patients

Question 16

opioid toxicity

Answer 16

drowsiness, agitation, myoclonus, hypersensitivity to touch