Weak opioids - dihydrocodeine 1-2 tabs TDS - tramadol 50mg TDS

Strong opioids - fentanyl - morphine

Palliative Care Flashcards by Eshwarya Andy

Emetic for nausea due to chemotherapy

Ondansetron

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Emetic for nausea due to raised ICP

Dexamethosone

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Emetic for post op nausea

Metoclopramide

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Nausea + poor gastric emptying

Metoclopramide or domperidone

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

Haloperidol

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Nausea due to vestibular causes like BPPV

Prochlorperazine

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Nausea of motion sickness

Promethazine/cyclizine

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Anticipatory nausea

Lorazepam

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Bone pain analgesia

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

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Liver Mets analgesia

Morphine S/C or IV infusion
Naproxen
NSAIDS

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Visceral pain

Opioids (<200mg/24 hours)

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Spasmodic analgesia

Buscopan

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Mild pain (0-3)

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

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Moderate pain (3-6)

Weak opioids

dihydrocodeine 1-2 tabs TDS
tramadol 50mg TDS

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Severe pain (6-10)

Strong opioids

fentanyl
morphine

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Cancer pain management

Opioids

First choice opioid in renal impairment

Fentanyl

Neuropathic pain

Gabapentin, pregabalin, amitryptiline, venlafaxine, carbamazepine

Opioid induced constipation

Methylnaltrexone

Hard and soft stools in rectum

Bicasodyl, if hard + glycerol

Fecal impact ion

Glycerol, macrogol if rectal intervention CI

Intestinal instruction

Docusate + dexamethasone

Spinal cord injury constipation

Bicasodyl

If high output diarrhea

Psyllium powder

Severe diarrhea

Octreotide, seek specialist advice

Cough Mx

Moist cough: expectorant and loosening agents | dry cough: antitussive

Hiccups

Metoclopramide Nifedipine Chlorpromazine

Terminal respiratory secretions/death rattle

Buscopan Atropine Glycopyrronium bromide

Headache due to raised ICP

Dexamethasone Cyclizine if dizzy

Uraemic pruritus

Pregabalin/gabapentin

Cholestatic pruritus

Rifampicin

Cancer pruritus

Dexamethasone

Surgical management for raised ICP

Stents, radio surgery

Malignant hypercalcemia symptoms and cause

Thirst, confusion, delirium, restlessness Due to paraneoplastic syndrome

Managing malignant hypercalcemia

IV hydration Once euvolemic, IV bisphosponate to prevent bone resorption ECG shows shortened QT, widened T wave

What is common complication of hepatocellular carcinoma

Hypoglycemia

Hypocalcemia symptoms

Tetany, paraesthesia, arrhythmia