Palliative

Question 1

how to reduce discomfort associated with a painful mouth that may occur at the end of life

Answer 1

Benzydamine hydrochloride mouthwash

Question 2

safest opioid choice in patients with renal impairment

Answer 2

severe= buprenorphine, fentanyl
mild-moderate= oxycodone

Question 3

first line anti-emetic for intracranial causes of nausea and vomiting

Answer 3

cyclizine

Question 4

anti-emetic for chemical causes + good all rounder

Answer 4

haloperidol or ondansetron

Question 5

vomiting small amounts constantly =

Answer 5

chemical cause

Question 6

nausea resulting from gastric dysmotility and stasis.

Answer 6

domperidone and metoclopramide

Question 7

effective treatment for anticipatory nausea.

Answer 7

lorazepam

Question 8

first-line to manage secretions in a palliative care setting

Answer 8

hyoscine butylbromide (subcut, IV or infusion)

Question 9

2nd line for respiratory secretions

Answer 9

glycopyrronium bromide

Question 10

aside from analgesia what can you give in metastatic bone pain

Answer 10

radiotherapy or bosphosphonates

Question 10

what to give in metastatic spinal cord compression

Answer 10

dexamethasone

Question 11

what does hyoscine hydrobromide, hyoscine butylbromide, and glycopyrronium bromide treat

Answer 11

respiratory secretions
biliary colic

Question 12

how to manage terminal agitation and restlessness

Answer 12

midazolam

Question 13

presentation of morphine accumulation in ckd

Answer 13

• reduced conscious level
• slow respiratory rate
• myoclonic jerks
• pinpoint pupils

Question 14

first-line antipsychotic medication recommended for the management of delirium

Answer 14

oral haloperidol

Question 15

mx for Hiccups in palliative care

Answer 15

chlorpromazine or haloperidol
baclofen if persistent