Palliative care

Question 1

codeine to morphine

Answer 1

divide total dose by 10

Question 2

morphine to breakthrough dose

Answer 2

1/6th of total dose

Question 3

morphine to oxycodone

Answer 3

divide by 1.5-2

Question 4

morphine to subcutaneous morphine

Answer 4

divide total dose by 2

Question 5

morphine to subcutaneous diamorphine

Answer 5

divide by 3

Question 6

oxycodone to diamorphine

Answer 6

divide by 1.5

Question 7

when is fentanyl used

Answer 7

severe renal impairment , eGFR < 30 for moderate to severe pain

Question 8

when is oxycodone used

Answer 8

mild-moderate renal impairment

Question 9

pain not controlled by morphine?

Answer 9

increase dose by 30-50%

Question 10

morphine to fentanyl

Answer 10

30 mg = 12 mcg fentanyl

Question 11

morphine to buprenorphine

Answer 11

24 mg = 10 mcg

Question 12

what antiemetic is most suitable for ?
gastric stasis
chemically mediated
visceral
ICP
vestibular
cortical

Answer 12

metoclopramide
ondansetron, haloperidol and Levopromazine
cyclizine
cyclizine
cyclizine
short acting benzos

Question 13

management of hiccups in palliative care

Answer 13

chlorpromazine or haloperidol

Question 14

__________may be useful in reducing the discomfort associated with a painful mouth that may occur at the end of life

Answer 14

Benzydamine hydrochloride

Question 15

management of secretions and bowel colic

Answer 15

hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide.

Question 16

Metastatic bone pain may respond to

Answer 16

analgesia, bisphosphonates or radiotherapy

Question 17

management of agitation and confusion

Answer 17

haloperidol, followed by chlorpromazine and Levopromazine with subcut haloperidol if confusion is in its terminal stages

Question 18

management of oral candidiasis

Answer 18

chlorhexidine or nystatin

Question 19

aphthous ulcers and cold sores

Answer 19

choline salicyclate
chlorhexidine

Question 20

mechanism of hyoscine butyl bromide

Answer 20

muscarinic receptor antagonist

Question 21

prochlorperazine mechanism

Answer 21

dopamine receptor antagonist

Question 22

mechanisms of benzos

Answer 22

GABA potentiators

Question 23

route for hyoscine butylbormide

Answer 23

subcut