palliative and end of life care Flashcards
what are the opioids of choice for pain relief in palliative care for pts w/ severe renal impairment?
buprenorphine or fentynal
what is the conversion for oral codeine to morphine?
divide by 10
what is an adverse side effect of amitriptaline?
urinart retention
what is the conversion for oral to subcutaneous mrophine?
divide by 2
what is the drug of choice for oral lesions in palliative care?
benztdamine hydrochloride mouthwash or spray
what should be done to mrophine dose if pain is not well controlled?
increase dose by 30-50%
what is the opioid of choice in mild / moderate renal impairment?
oxycodone
what is the conversion for codeine to morphine?
divide by 10
what are the requirements for orthostatic hypotension?
a drop in systolic BP of at least 20mmHg w/ or w/out symptoms
a drop to below 90mmHg on standing even if drop is <20mmHg w/ or w/out symptoms
a drop in diastolic BP of at least 10mmHg w/ symptoms
what is the first line for mild to moderate Alzheimers dementia?
donepazil (anti cholinesterase inhibitor)
what is the first line for managing agitation?
halloperidol
when can haloperidol not be used?
parkinsons and Lewy body dementia
what is the conversion for oral morphine to diamorphine?
divide by 3
what is used to identify the risk of developing pressure sores?
Waterlow score
what is used to assess frailty?
PRIISMA 7 questionnaire
