Palliative Care Flashcards

1
Q

Treatment of opioid induced constipation
- No cancer
- Cancer

A

Non- cancer
1) Aperients
2) Prucolapride - 5HT-4 agonist

Cancer
1) Aperients
2) Methlynaltrexone

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2
Q

Opiate conversion - oral

A

Morphine 30mg
Oxycodone 20mg
Hydromorphone 6mg

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3
Q

Opiate conversion - IV

A

Morphine 10mg
Oxycodone 10mg
Fentanyl 150mcg

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4
Q

Contraindications/when to rotate to another opioid

A

Renal failure
Severe liver failure
Unacceptable A/E - hallucinations, sedation, resp changes, myoclonus/jerks

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5
Q

1st line opiate in pal care

A

Morphine

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6
Q

1st line opiate in suffering delirium with morphine

A

oxycodone

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7
Q

1st line opiate in terminal phase

A

hydromorphone

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8
Q

1st line opiate in renal impairement

A

fentanyl or hydromorph

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9
Q

Pred conversion

A

5mg pred
20mg hydrocort
25mg cortisone
0.75mg dex

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