Palliative Care

Question 1

In palliative care how much can morphine dose be increased?

Answer 1

increase morphine doses by 30-50% if pain not controlled

Question 2

How to work out conversion of oral to SC morphine?

Answer 2

Divide by two for oral to subcutaneous morphine conversion

Question 3

What is the breakthrough dose of morphine?

Answer 3

1/6 of daily dose

Question 4

How to convert codiene to morphine?

Answer 4

Divide by 10

Question 5

Opiods for pain relief in severe renal impairment?

Answer 5

Buprenorphine or fentanyl

Question 6

Benzydamine hydrochloride mouthwash or spray may be useful in what?

Answer 6

Reducing the discomfort associated with a painful mouth that may occur at the end of life

Question 7

respiratory secretions & bowel colic may be treated by what?

Answer 7

Hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide

Question 8

Hiccups in palliative care?

Answer 8

chlorpromazine or haloperidol

Question 9

What should be used in palliative care for nausea and vomiting that is due to gastric dysmotility and stasis

Answer 9

Dopamine (D2) receptor antagonists