Palliative

Question 1

Dyspnea

Answer 1

Oxygen therapy
- not in pt with previous bleomycin chemotherapy (pulmonary injury)

Morphine PRN

Furosemide PRN (for fluid overload)

BZD - Lorazepam (for anxiety)

Question 2

Secretions

Answer 2

Anticholinergics

• Glycopyrrolate
• Atropine

Question 3

Agitation/Delirium

Answer 3

• Eliminate any drug cases
• Atypical antipsychotics (quetiapine, olanzapine) (haloperidol)

Question 4

Bowel obstruction

Answer 4

• IV/SC fluids
• Nasogastric / gastric tube drainage; pancreatic enzyme + sodium bicarb

Question 5

Anorexia/Cachexia

Answer 5

• Food supplements
• Milk feeds
• Appetite stimulants: Megestrol (incr risk of thrombosis)

Question 6

N/V/D/C

Answer 6

As per CINV, CID, Constipation management

Question 7

Insomnia/over-sedation

Answer 7

Over-sedation

• Amphetamines

Insomnia

• Lemborexant, Z-drugs, BZDs, Trazadone etc.

Question 8

Wound care/pressure ulcers

Answer 8

Turn patient every 2h, use barrier creams