Palliative Care

Question 1

What is used for dysphagia

Answer 1

dexamethasone

Question 2

What is used for anorexia

Answer 2

prednisolone/dexamethasone

Question 3

What is used for bowel colic/resp secretions

Answer 3

hyoscine butyl/hydrobromide, glycopyronium or antimuscarinics

Question 4

What is used for capillary bleeding

Answer 4

tranexamic acid or vit k

Question 5

What is used for constipaiton

Answer 5

co-danthrumer

Question 6

What is used for prophylaxis of convulsions

Answer 6

phenytoin/carbamazepine

Question 7

What is used for the tx of convulsions

Answer 7

diazepam/phenobabrital, midazolam

Question 8

What is used for dyspnoea

Answer 8

regular oral morphine, diazepam, dexamethasone

Question 9

What are the counselling points for the application of fentanyl patches

Answer 9

• Non irritated, dry skin
• hairless site cut with scisssors, do not shave
• clean site with clean water
• dry pre application
• avoid exposure to heat as can increase absorption

Question 10

When is alfentanil indicated

Answer 10

if crcl <10ml/min

Question 11

What is used for insomnia

Answer 11

benzodiazepenes

Question 12

What is used for hiccup

Answer 12

antiflatulent, metoclopramide

Question 13

What is used for intracable cough

Answer 13

morphine

Question 14

What is used for opioid induced n/v

Answer 14

haloperidol/metoclopramide for the first four or five days

Question 15

When is haloperidol used for n/v

Answer 15

for metabolic causes

Question 16

Which drugs are given via infusuion

Answer 16

• pain relief
• colic/secretions: hyoscine butylbromide/hydrobromide. butyl bromide less sedating
• confusion - haloperidol or midazolam
• n+v cyclizine or metoclopramide
  convulsions - midazolam

Question 17

What are the symptoms of puritus and how is it treated

Answer 17

jaundice - give colystyramine