Palliative

Question 1

Analgesia for palliative patients with severe renal impairment

Answer 1

Buprenorphine or fentanyl are the opioids of choice for pain relief in palliative care patients with severe renal impairment, as they are not renally excreted and therefore are less likely to cause toxicity than morphine.

Question 2

Anti-emetic for a patient on chemo:

Answer 2

Ondansetron

Nausea and vomiting associated with chemotherapy or radiotherapy often respond to a 5-HT3-receptor antagonist in combination with dexamethasone.