Palliative care Flashcards
Pain meds that can’t be used in CKD
- nonsteroidal antiinflammatory agents (NSAIDs)
- codeine
- *tramadol
- dextropropoxyphene
- morphine
- meperidine/pethidine
- propoxyphene
Febrile neutropenia management per boards 1) inpatient vs. outpatient
- IF low risk (no significant comordibidities or symptoms), outpatient management appropriate
*empiric broad spectrum antibiotics started immediately after blood cultures obtained
Initial Management of anticipatory nausea + refractory management
- nonpharmacologic initially (relaxation exercises, systemic desensitization)
- if persistent, benzos
Preferred narcotic pain medications for patients with severe renal impairment
- methadone
- fentanyl
Most common SE of osimertinib
- diarrhea
Preferred long acting pain medication in CKD Stage III-IV patients
- transdermal fentanyl patch
Why do we give B12 and folic acid with pemetrexed?
- significantly reduces incidence of pemetrexed-induced myelosuppression, diarrhea, and mucositis
*so decreases risk of neutropenic fever
Drug indicated for opioid-induced constipation
- methylnaltrexone
Most common adverse event of dabrefenib/trametinib
- pyrexia
What is “existential suffering”
- loss of identity (including body image issues)
how to mitigate risk of anthracycline cardiotoxicity with anthracyclines
- dexrazoxane
*or switch to liposomal doxorubicin
Preferred treatment for hot flashes
Gabapentin
Methadone contraindication
Prolonged QTc
Board answer to patient with dismal prognosis saying they want to live until they are 90.
use a “wish statement.” “I wish that were possible.”
How to manage patients with high pain requirements but with opioid SE’s
rotate opioids
