Palliative care Flashcards
codeine to morphine
divide total dose by 10
morphine to breakthrough dose
1/6th of total dose
morphine to oxycodone
divide by 1.5-2
morphine to subcutaneous morphine
divide total dose by 2
morphine to subcutaneous diamorphine
divide by 3
oxycodone to diamorphine
divide by 1.5
when is fentanyl used
severe renal impairment , eGFR < 30 for moderate to severe pain
when is oxycodone used
mild-moderate renal impairment
pain not controlled by morphine?
increase dose by 30-50%
morphine to fentanyl
30 mg = 12 mcg fentanyl
morphine to buprenorphine
24 mg = 10 mcg
what antiemetic is most suitable for ?
gastric stasis
chemically mediated
visceral
ICP
vestibular
cortical
metoclopramide
ondansetron, haloperidol and Levopromazine
cyclizine
cyclizine
cyclizine
short acting benzos
management of hiccups in palliative care
chlorpromazine or haloperidol
__________may be useful in reducing the discomfort associated with a painful mouth that may occur at the end of life
Benzydamine hydrochloride
management of secretions and bowel colic
hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide.
Metastatic bone pain may respond to
analgesia, bisphosphonates or radiotherapy
management of agitation and confusion
haloperidol, followed by chlorpromazine and Levopromazine with subcut haloperidol if confusion is in its terminal stages
management of oral candidiasis
chlorhexidine or nystatin
aphthous ulcers and cold sores
choline salicyclate
chlorhexidine
mechanism of hyoscine butyl bromide
muscarinic receptor antagonist
prochlorperazine mechanism
dopamine receptor antagonist
mechanisms of benzos
GABA potentiators
route for hyoscine butylbormide
subcut
