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Palliative > Palliative > Flashcards

Palliative Flashcards

1
Q

Managing hiccups

A

Chlorpromazine
Haloperidol
Gabapentin
Dexamethasone if hepatic lesions

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2
Q

Starting pain relief

A

20-30mg MR morphine
+
5mg breakthrough

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3
Q

How to dose morphine breakthrough?

A

1/6 daily dose

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4
Q

Pain relief for renal impairment

A

Mild/mod: Oxycodone
Severe: alfentanil, buprenorphine, fentanyl

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5
Q

Managing metastatic bone pain

A

Opioids
Bisphosphonates
Radiotherapy
Denosumab

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6
Q

How to increase opioids?

A

Increase by 30-50%

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7
Q

How to change PO codeine to PO morphine?

A

Divide by 10

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8
Q

How to change PO tramadol to PO morphine?

A

Divide by 10

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9
Q

How to change PO morphine to PO Oxycodone?

A

Divide by 1.5-2

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10
Q

Oxycodone side effects compared to opioids

A

Less sedation, vomiting, pruritus
More constipation

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11
Q

Converting 30mg PO morphine to fentanyl patch

A

12 microgram

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12
Q

24mg PO morphine to buprenorphine patch

A

10 microgram

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13
Q

Converting PO morphine to subcut?

A

Divide by 2

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14
Q

Converting PO morphine to subcut diamorphine?

A

Divide by 3

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15
Q

PO Oxycodone to SC diamorphine?

A

Divide by 1.5

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16
Q

Which drugs should be mixed with saline for syringe driver?

A

Granisetrok
Ketamine
Ketorolac
Ocreotide
Ondansetron

17
Q

Diamorphine is incompatible with what in a syringe driver?

A

Cyclizine

18
Q

Cyclizine is incompatible with what in syringe driver?

A

Dex
Clonidine
Hyoscine butylbromide
Ketamine
Ketorolac
Metoclopramide
Midaz
Ocreotide
Nacl 0.9

Palliative (1 decks)

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