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Pre-reg Exam 2021 > Palliative Care > Flashcards

Palliative Care Flashcards

1
Q

What opioid is the drug of choice in pain management in palliative care?

A

Morphine
IR 4-12 hourly
MR 12-24 hourly

Oxycodone alternative

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2
Q

What is used for breakthrough pain?

A

IR opioid

1/6-1/10 total daily dose

Every 2-4 hours PRN

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3
Q

When is the parenteral route used in palliative care?

A

Dysphagia
Nausea/vomiting
Coma
Weakness

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4
Q

What dose is parenteral morphine compared to oral morphine?

A

Half of oral dose of morphine

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5
Q

What is the parenteral dose of diamorphine compared to oral morphine?

A

Third of oral dose of morphine

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6
Q

What is used to manage nausea and vomiting in opioid use?

A

Metoclopramide

Haloperidol for 4-5 days

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7
Q

What is used for anorexia in palliative care?

A

Prednisolone

Dexamethasone

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8
Q

What is used for secretions in palliative care?

A

Hyoscine
Glycopyrronium

Loperamide for bowel colic

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9
Q

What is used for capillary bleeding in palliative care?

A

Tranexamic acid
Adrenaline
Vitamin K in prolonged clotting in liver disease

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10
Q

What is used for convulsions due to uraemia/cerebral tumour in palliative care?

A

Phenytoin
Carbamazepine
Midazolam

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11
Q

What is used for dysphagia due to obstruction by tumour in palliative care?

A

Dexamethasone

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12
Q

What is used for dyspnoea in palliative care?

A

Oral morphine
Diazepam
Corticosteroids

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13
Q

What is used for fumigating tumours in palliative care?

A

Metronidazole

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14
Q

What is used for gastric distension in palliative care?

A

Antacid with anti flatulent + prokinetic drug

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15
Q

What is used for hiccup due to gastric distension in palliative care?

A

Antacid with antiflatulent

+ metoclopramide

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16
Q

What is used for insomnia in palliative care?

A

Benzodiazepines

17
Q

What is used for intractable cough in palliative care?

A

Oral morphine

18
Q

What is used for muscle spasm in palliative care?

A

Diazepam

Baclofen

19
Q

What is used for nausea and vomiting in palliative care?

A 
Haloperidol 
Levomepromazine 
Cyclizine
Metoclopramide 
Dexamethasone
20
Q

What is used for pruritis in palliative care?

A

Emollients

Colestyramine in obstructive jaundice

21
Q

What is used for headache due to raised intracranial pressure in palliative care?

A

Dexamethasone

22
Q

What is used for restlessness and confusion in palliative care?

A

Haloperidol

Levomepromazine

Pre-reg Exam 2021 (79 decks)

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