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GP > Palliative Care > Flashcards

Palliative Care Flashcards

1
Q

Emetic for nausea due to chemotherapy

A

Ondansetron

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2
Q

Emetic for nausea due to raised ICP

A

Dexamethosone

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3
Q

Emetic for post op nausea

A

Metoclopramide

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4
Q

Nausea + poor gastric emptying

A

Metoclopramide or domperidone

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5
Q

Nausea + bowel obstruction or nausea due to central causes like drugs, metabolic dysfunction

A

Haloperidol

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6
Q

Nausea due to vestibular causes like BPPV

A

Prochlorperazine

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7
Q

Nausea of motion sickness

A

Promethazine/cyclizine

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8
Q

Anticipatory nausea

A

Lorazepam

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9
Q

Bone pain analgesia

A 
NSAIDS
Opioids - Syrup morphine, codeine, S/C Moprhine, contin, oxycodone, infusion
Tramadol 
Surgical stabilization
Bisphosphonates
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10
Q

Liver Mets analgesia

A

Morphine S/C or IV infusion
Naproxen
NSAIDS

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11
Q

Visceral pain

A

Opioids (<200mg/24 hours)

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12
Q

Spasmodic analgesia

A

Buscopan

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13
Q

Mild pain (0-3)

A

PCM 500mg -1g QID
ibuprofen 400mg TDS
Mefenamic acid 500g TDS

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14
Q

Moderate pain (3-6)

A

Weak opioids

  • dihydrocodeine 1-2 tabs TDS
  • tramadol 50mg TDS
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15
Q

Severe pain (6-10)

A

Strong opioids

  • fentanyl
  • morphine
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16
Q

Cancer pain management

A

Opioids

17
Q

First choice opioid in renal impairment

A

Fentanyl

18
Q

Neuropathic pain

A

Gabapentin, pregabalin, amitryptiline, venlafaxine, carbamazepine

19
Q

Opioid induced constipation

A

Methylnaltrexone

20
Q

Hard and soft stools in rectum

A

Bicasodyl, if hard + glycerol

21
Q

Fecal impact ion

A

Glycerol, macrogol if rectal intervention CI

22
Q

Intestinal instruction

A

Docusate + dexamethasone

23
Q

Spinal cord injury constipation

A

Bicasodyl

24
Q

If high output diarrhea

A

Psyllium powder

25
Q

Severe diarrhea

A

Octreotide, seek specialist advice

26
Q

Cough Mx

A

Moist cough: expectorant and loosening agents

dry cough: antitussive

27
Q

Hiccups

A

Metoclopramide
Nifedipine
Chlorpromazine

28
Q

Terminal respiratory secretions/death rattle

A

Buscopan
Atropine
Glycopyrronium bromide

29
Q

Headache due to raised ICP

A

Dexamethasone

Cyclizine if dizzy

30
Q

Uraemic pruritus

A

Pregabalin/gabapentin

31
Q

Cholestatic pruritus

A

Rifampicin

32
Q

Cancer pruritus

A

Dexamethasone

33
Q

Surgical management for raised ICP

A

Stents, radio surgery

34
Q

Malignant hypercalcemia symptoms and cause

A

Thirst, confusion, delirium, restlessness

Due to paraneoplastic syndrome

35
Q

Managing malignant hypercalcemia

A

IV hydration
Once euvolemic, IV bisphosponate to prevent bone resorption

ECG shows shortened QT, widened T wave

36
Q

What is common complication of hepatocellular carcinoma

A

Hypoglycemia

37
Q

Hypocalcemia symptoms

A

Tetany, paraesthesia, arrhythmia

GP (20 decks)

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