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AMK > Palliative care > Flashcards

Palliative care Flashcards

1
Q

Drugs for pain/breathlessness

A

Diamorphine
Morphine

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2
Q

Drugs for nausea/vomiting

A

haloperidol +/- cyclizine +/- metoclopramide

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3
Q

Drug for agitation

A

Midazolam

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4
Q

Drug for hallucinations

A

Haloperidol

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5
Q

Drugs for secretions

A

Hyoscine butyl bromide
Hyoscine hydrobromide

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6
Q

How long do you listen to heart for to confirm death?

A

2 mins

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7
Q

How long do you listen to lungs for to confirm death?

A

3 mins

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8
Q

Which drug should not be given with cyclizine?

A

Metoclopramide

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9
Q

WHO pain ladder and examples at each stage

A

1 = non-opioid analgesics (paracetamol)
2 = weak opioids (codeine, tramadol, dihydrocodeine)
3 = strong opioid (morphine, oxycodone, fentanyl)

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10
Q

Prescribing pathway for bone pain

A

1= radiotherapy
2 = adjuncts (analgesic ladder)
3 = biphosphonates

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11
Q

Medications for neuropathic pain

A

Amitriptyline and pregabalin

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12
Q

How to calculate breakthrough pain dose

A

Add up total background dose and divide by 6

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13
Q

If going from oral to subcut morphine how do you change dose?

A

/10

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14
Q

If going from oral morphine to oral oxycodone how do you change dose?

A

Half it

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15
Q

If going from oral morphine to oral codeine + weak opioid how do you change dose?

A

Divide by 10

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16
Q

Treatment for oral irritation

A

Cyclizine

17
Q

Treatment for post-surgery nausea

A

Ondansetron

18
Q

What kind of sickness can you use ondansetron for?

A

Acts on chemoreceptors - chemotherapy sickness

19
Q

What kind of sickness can you use cyclizine for?

A

Acts centrally on chemoreceptor transmission zone, use for brain mets

20
Q

What kind of sickness do you use dexamethasone for?

A

If raised ICP

21
Q

What sickness do you use haloperidol for?

A

chemical imbalance - raised calcium

22
Q

What kind of sickness do you use metoclopramide for?

A

Gastric stasis (not obstruction)

23
Q

How do you treat breathlessness?

A

Midazolam/morphine

24
Q

Which drugs can you not mix with water for injection?

A

OK - ketamine, ketorolac, ocreotide, ondansetron

25
Q

Starting dosing for oral morphine?

A

20-30mg + 5mg breakthrough

26
Q

What must you prescribe with opioids?

A

laxative

27
Q

When do you prescribe oxycodone instead of morphine?

A

Renal impairment

28
Q

Transient and permanent sx of opioid use

A

nausea and constipation

29
Q

What do you use for EOL mouth pain?

A

benztdamine hydrochloride mouthwash

30
Q

Convert oral codeine to oral morphine

A

/10

31
Q

Convert oral tramadol to oral morphine

A

/10

32
Q

Convert oral morphine to oral oxycodone

A

/1.5

33
Q

Convert oral morphine to sc morphine

A

/2

34
Q

convert oral morphine to sc diamorphine

A

/3

35
Q

convert oral oxycodone to sc diamorphine

A

/1.5

AMK (33 decks)

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