Palliative

Question 1

Terminal patient + Agitation:

Answer 1

SC Midazolam.

Question 2

Metastatic bone pain:

Answer 2

Bisphosphonates.

Question 3

Terminal + Resp secretions:

Answer 3

Hyoscine Butylbromide
Hyoscine Hydrobromide
Glycopyronium Bromide.

Question 4

Terminal + Bowel Colic :

Answer 4

Hyoscine Butylbromide
Hyoscine Hydrobromide
Glycopyronium Bromide.

Question 5

Hiccups in palliative :

Answer 5

Chlorpromazine or haloperidol

Question 6

Painful mouth in palliative/Terminal patient :

Answer 6

Benzydamine hydrochloride mouthwash

Question 7

Choice for pain relief in palliative care patients with severe renal impairment:

Answer 7

Buprenorphine or fentanyl

Question 8

Headache caused by raised intracranial pressure due to brain cancer (or metastases) can be palliated with:

Answer 8

Dexamethasone

Question 9

Morphine to S/c Diamorphine conversion:

Answer 9

Diamorphine = Morphine/3

DIA=3 Letters= divide by 3.

Question 10

Codeine to Morphine=

Answer 10

Codeine/10= Morphoine.

Question 11

If pain is not relieved, what to do ?

Answer 11

Increase the dose by 50%.

Question 12

Breakthrough dose =

Answer 12

1/6th of daily morphine dose.

Question 13

Morphine toxicity ;

Answer 13

reduced conscious level, slow respiratory rate, myoclonic jerks, and pinpoint pupils.

Question 14

H/o Palliative meds + reduced conscious level, slow respiratory rate, myoclonic jerks, and pinpoint pupils. ?

Answer 14

Morphine Toxicity.

Question 15

Should you split the total MR Morphine dose ?

Answer 15

Yes, divide it by 2 and give it as BD.