Pain Flashcards

1
Q

Management of dyspnea in palliative care

A
  • Oxygen therapy (except bleomycin)
  • Morphine PRN
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2
Q

Management of excessive secretions

A

Anticholinergics e.g. glycopyrrolate

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3
Q

Management of bowel obstructions

A

Pancreatic lipases

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4
Q

Management of anorexia/cachexia

A

Metoclopramide
Megestrol acetate
Olanzapine
Dexamethasone

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5
Q

PO morphine to oxycodone conversion

A

30 mg morphine = 15-20 mg oxycodone

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6
Q

PO Morphine to tramadol conversion

A

30 mg morphine = 300 mg tramadol

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7
Q

PO morphine to fentanyl patch conversion

A

2 mg morphine = 1 mcg/hour fentanyl

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8
Q

PO morphine to methadone conversion

A

<60 mg morphine: 2-7.5 mg methadone
60-199 mg morphine (and patient <65 y.o.): 10:1 conversion
200 mg morphine and above (or patient >65 y.o): 20:1 conversion

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9
Q

Max initial dose of methadone

A

45 mg/day

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