Palliative Care

Question 1

Best opioid in renal impairment?

Answer 1

Buprenorphine -> undergoes predominantly hepatic metabolism with minimal renal excretion. It is eliminated primarily through the biliary system, with less than 30% excreted in urine.

Question 1

Best antiemetic for intracranial (i.e. brain mets) causes of N&V?

Answer 1

Cyclizine

Question 2

First line antipsychotic for delirium in palliative care?

Answer 2

Haloperidol

Question 3

Besides analgesia, what two things can be used for metastatic bone pain?

Answer 3

Bisphosphonates or radiotherapy