palliative care

Question 1

oral pain mx

Answer 1

benzydamine mouthwash

Question 2

starting pain treatment

Answer 2

• offer oral MR/IR + oral IR for breakthrough pain

Question 3

feartures of NV caused by chemical and the drug given

Answer 3

persistent often sever neausea unrelieved by vomiting
aggravated by the sight/smell of food
drowsiness/confusion

Haloperidol or metocloperamide

Question 4

features of NV caused by gastric stasis and the drug given

Answer 4

fullness/regurgitation
reduced appetite
vomiting large volumes relieves nausea
epigastric discomfort
hiccups

metocloperamide or domperidone

Question 5

features of NV caused by bowel obstruction and the drug given

Answer 5

High: regurgitation, forceful vomiting of undigested food

Low: colickly pain, large faeculant vomits, visible peristalsis

Mx - cyclizine or dexamethasone

Question 6

features of NV caused by raised ICP/intracerebral cause

Answer 6

NV in the morning
projectile vomiting
worse on head movement
headache

Mx - cyclizine/dexamethasone

Question 7

Post-op/RT cancer pt

Answer 7

serotonin release - ondansetron

Question 8

constipation NV

Answer 8

nausea and faeculent vomiting
abdominal distension

metocloperamide
laxatives