Palliative

Question 1

If bowel obstruction give…

Answer 1

Anti- secretory

Syringe drivers: respiratory secretions & bowel colic may be treated by
- hyoscine hydrobromide
- hyoscine butylbromide
- glycopyrronium bromide

Question 2

what may be useful in reducing the discomfort associated with a painful mouth that may occur at the end of life

Answer 2

Benzydamine hydrochloride mouthwash or spray

may get this in head and neck cancer + radiotherapy

Question 3

MOA of Hyoscine hydrobromide or hyoscine butylbromide

Answer 3

Anti-muscarinic

Reduces the volume of bronchial secretions

May also use glycopyrrinum

Question 4

When coverting from oral morphine to s/c make sure to ADD breakthrough dose and modified release

Question 5

Confusion/ agitation

if NOT terminally ill (bed bound)
1st line-
Other options - (2)

If they are bed bound/ term ill-

Answer 5

NOT- Haloperidol
Other options - chlorpromazine, levomepromazine

IS- s/c midazolam