pain management in a palliative setting Flashcards
what is total pain made of
physical , psychological, spiritual and social
oromorph tablet version
severedol
medication useful for secretions and also useful if patient had renal failure
glycoporonium
opiod switching occurs when and why
side effects presents
renal failure route of delivery
what is tapentadol
opiod and NRI, place unclear as of yet
weak opiod exmaple
tramadol
codiene and tapentadol
SE
nauae and vomit
constipation
drwosy and confusion
resp depression
dry mouth
itching
controlled drug prescribing requirements
name and address of pt
form and strength of prep
total quanittiy of prep or the nmber of dose units in both words and figures to be suppplied
dose - 30mg BD
mixtrues to avoid in syrigne driver
Cyclizine and saline – it will crystallise and stop the infusion
Cyclizine and Metoclopramide (antagonistic and incompatible)
Cyclizine and Hyoscine (crystallises - often in the night)
Metoclopramide and Hyoscine (antagonistic and incompatible)
Avoid more than 1mg Dexamethasone combined with other medicines
if Has already been on maximum treatment for her heart failure, so oral
furosemide very unlikely to be of help.
when can you not dive on opiods
dont drive for at least 5 days
need to inform insurance compaany about med comdtion and meds
do not need to inform the DVLA
rule of thumb going up in syrigne driver how much do you increase dose by
30-50%
liver swelling pain what can you give
dexamethasone
colicky abdo pain and complette bowel obstruction
butylbromide ( buscapan - anti spasmodic for smooth muscle_
spinal mets no cord compression, pain radiating down left and worse and night
neuropathic agents - amitripttyliene
