Palliative

Question 1

Promethazine MoA

Answer 1

anti-histamine (H>M>D2)

Question 1

promethazine indications

Answer 1

motion sickness
labyrinth disorders
hyperemesis gravidarum
pre- and post-operatively

Question 2

promethazine SEs

Answer 2

dizziness
fatigue
tinnitus
sedation

Question 3

metoclopramide indications

Answer 3

GI motility disorders
uraemia
radiation sickness
cancer chemotherapy

Question 4

metoclopramide SEs

Answer 4

CNS - EPSE, drowsiness, dizziness, anxiety

endocrine - hyperprolactinaemia, galactorrhoea

Question 5

Hyoscine SEs

Answer 5

antimuscarinic SEs
- dry mouth
- blurred vision
- mydriasis
- constipation

Question 6

ondansetron indications

Answer 6

chemotherapy sickness
radiotherapy sickness

Question 7

agitation and confusion medications

Answer 7

1st line -> haloperidol
terminal restlessness > midazolam

Question 8

secretions medications

Answer 8

hyoscine hydrobromide

glycopyrronium bromide

Question 9

hiccups medications

Answer 9

chlorpromazine

Question 10

bony mets pain tx

Answer 10

1. analgesia
2. bisphosphonates
3. radiotherapy

Question 11

opioids used in CKD

Answer 11

GFR 30-60 = oxycodone
GFR <30 = fentanyl, buprenorphine

Question 12

oral to subcut morphine?

Answer 12

divide by 2

Question 13

oral codeine to oral morphine?

Answer 13

divide by 10

Question 14

glasgow- blatchford score

Answer 14

pre-endoscopy