Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Introduction YR3 + teaching > Palliative Care > Flashcards

Palliative Care Flashcards

1
Q

Common symptoms of EoL

A
  • pain
  • N+V
  • Secretions
  • Agitation
  • Resp distress
  • Constipation
  • Reduced appetite
  • Fatigue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the contributors to ‘total pain’?

A
  • Physical
  • Psychological
  • Social
  • Spirtual
  • Practical
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

WHO step ladder for analgesics

A
  1. Non-opioid +/- adjuvants
  2. Weak opioid +/- non-opioid +/- adjuvants
  3. Strong opioid +/- non-opoid +/- adjuvants
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Look at slide for medication strength comparison

A

:)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How to dose morphine

A

Start with low dose with PRN doses for breakthrough pain
Reduce if frail/elderly
Then do PRN dose calculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

PRN dose calculation

A

Total background dose (total dose of day)
Divide by 6
Gives PRN dose that can have every 4 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

N+V therapies

A

Peppermint tea/oil
Ginger
Haloperidol 500mcg up to 2 hourly - also sedating effect
NG tube?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Antiemetic used in gastritis

A

Metoclopramide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Chemical causes of N+V antiemetic

A

Haloperidol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anitemetic used for vestibular N+V

A

Cyclizine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Antiemetic used for raised ICP N+V

A

Cyclizine + dexamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Antiemetic used for unknown/multifactorial/refractory N+V

A

Levomepromazine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Management of resp secretions

A

Glycopyronium bromide (200mcg S/C up to hourly)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Management of bowel secretions

A

Hyoscine butylbromide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Managing breathlessness in EoL

A
  • Treat any underlying cause eg Pulmonary oedema
  • Oxygen if hypoxaemic
  • Opioids
  • Benzodiazepines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for terminal agitation

A

Midazolam 2.5-5mg S/C up to hourly PRN

17
Q

When is 10mg IV Midazolam prescribed?

A

Anticipatory medicine if high risk of haemorrhage

18
Q

3 types of laxatives used in EoL constipation

A

Stimulant
Softener
Osmotic

DO NOT USE BULKING in EOL

19
Q

Examples of stimulant laxatives

A

Bisacodyl
Senna
Sodium picosulfate

20
Q

Examples of stool softners

A

Sodium docusate

21
Q

Examples of osmotic laxatives

A

Laxido/Movicol

22
Q

Order to give laxatives if taking multiple

A

Softner THEN stimulant - do not want to stimulate hard stool

23
Q
A

Introduction YR3 + teaching (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions