Palliative Care🦋 Flashcards

1
Q

What % should you increase opioids when pain control is inadequate in long-term users?

A

30%

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2
Q

What fraction of daily dose of opioid should you give for breakthrough pain?

A

1/6th DAILY dose

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3
Q

Safe pain medications for those with severe renal impairment?

A

Buprenorphine and Fentanyl

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4
Q

Drug good for opioid-induced nausea?

A

Cyclizine

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5
Q

Antiemetic contraindicated in Parkinson’s and Lewy Body dementia?

A

Metoclopramide

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6
Q

Safe pain medication to use in mild/moderate renal impairment

A

Oxycodone

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7
Q

How to convert from oral to subcut morphine?

A

1/2 the daily dose

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8
Q

What does hyoscine hydrobromide address in palliative symptoms?

A

Abdo pain and cramping - bowel colic

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9
Q

1st line pharmacological management of EOL constipation

A

Senna

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10
Q

1st line drug management in EOL constipation in patients with renal failure

A

Lactulose and Senna

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11
Q

Drug used to reduce cerebral oedema and ICP

A

Dexamethasone

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12
Q

Drug used to alleviate headaches associated with ICP

A

Dexamethasone

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13
Q

1st line EOL management for agitation

A

Haloperidol

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14
Q

2 medications to reduce secretions

A

Hyoscine and Glycopyrronium

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15
Q

4 main symptoms in LDOLs

A

Respiratory secretions
N & V
Pain
Agitation

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16
Q

1st line treatment for breathlessness in LDOL

A

Morphine - relieves sensation of dyspnoea

17
Q

Conversation from oral codeine to morphine

A

/10

10mg codeine = 1mg morphine