Palliative Flashcards

1
Q

Management of gastric distension

A

Try antacid or domperidone 10 mg TDS

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2
Q

Management of bowel colic

A

Loperamide or buscapan (hyoscine hydrobromide)

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3
Q

Management of muscle spasm

A

Baclofen, diazepam

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4
Q

Management of bone pain

A

Opiates, NSAIDs, radiotherapy

?bisphosphonates

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5
Q

Management of nerve compression pain

A

Dexamethasone if due to inflammation, radiotherapy

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6
Q

Management of neuropathic pain

A

tricyclic antidepressants, gabapentin, pregabalin

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7
Q

Management of pain (from primary care)

A

Mild: paracetamol, ibuprofen

Moderate: diclofenac 50 mg TDS, co-codamol 30/500

Severe: Oramorph

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8
Q

How to find appropriate morphine dose

A

Oramorph is 10 mg/5 mL

Start at 5 mg (2.5 mL) 4-hourly
Titrate upwards - increase dose, not interval

Once dose achieved with no breakthrough pain, divide 24h dose by 2. Give as morphine sulphate tablets BD

Up to one-sixth for breakthrough pain

Change to suppositories, patches or injections if unable to swallow

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9
Q

Management of anorexia

A

Small feeds, small plates, prednisolone 15-30 mg

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10
Q

Management of anxiety

A

Manage cause, involve carers/ MDT
Citalopram 20 mg OD
Diazepam 2-5 mg QDS
Temazepam for insomnia

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11
Q

Management of cough

A

Steam inhalation, codeine linctus, oramorph

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12
Q

Management of dyspnoea

A

Exclude pneumonia, effusion, bronchospasm

Consider prescribing: oramorph, diazepam
Secretions: hyoscine, atropine
Bronchospasm: dexamethasone

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13
Q

Most common cause SVC obstruction

A

primary bronchial ca

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