Palliative Care

Question 1

Treatment of intractable hiccups

Answer 1

chlorpromazine (haloperidol and gabapentin can also be used)

Question 2

Breakthrough dose of opiate

Answer 2

1/6th

Question 3

Options for metastatic bone pain

Answer 3

Opiods, bisphosphonates, radiotherapy, denosumab

Question 4

Typical opiate increase

Answer 4

30-50%

Question 5

Conversion codeine to morphine

Answer 5

Divide by 10

Question 6

Conversion tramadol to morphine

Answer 6

Divide by 10

Question 7

Conversion morphine to oxycodone

Answer 7

Divide 1.5 (current BNF), 2 (typical for practice)

Question 8

30mg oral morphine equivalent in fentanyl

Answer 8

12 microgram patch

Question 9

24mg oral morphine equivalent in buprenorphine

Answer 9

10 microgram patch

Question 10

Oral morphine to subcut morphine

Answer 10

Divide by 2

Question 11

Oral morphine to subcut diamorphine

Answer 11

Divide by 3

Question 12

Oral oxycodone to subcut diamorphine

Answer 12

Divide by 1.5

Question 13

What syringe driver typically delivers over an hour

Answer 13

Graseby MS16A (blue)

Question 14

What syringe driver typically delivers over 24 hours

Answer 14

Graseby MS26 (green)

Question 15

Drugs recommended for injection with sodium chloride

Answer 15

granisetron
ketamine
ketorolac
octreotide
ondansetron

Question 16

What might not mix well with cyclizine?

Answer 16

lots of things! diamorphine