Palliative Care🦋 Flashcards
What % should you increase opioids when pain control is inadequate in long-term users?
30%
What fraction of daily dose of opioid should you give for breakthrough pain?
1/6th DAILY dose
Safe pain medications for those with severe renal impairment?
Buprenorphine and Fentanyl
Drug good for opioid-induced nausea?
Cyclizine
Antiemetic contraindicated in Parkinson’s and Lewy Body dementia?
Metoclopramide
Safe pain medication to use in mild/moderate renal impairment
Oxycodone
How to convert from oral to subcut morphine?
1/2 the daily dose
What does hyoscine hydrobromide address in palliative symptoms?
Abdo pain and cramping - bowel colic
1st line pharmacological management of EOL constipation
Senna
1st line drug management in EOL constipation in patients with renal failure
Lactulose and Senna
Drug used to reduce cerebral oedema and ICP
Dexamethasone
Drug used to alleviate headaches associated with ICP
Dexamethasone
1st line EOL management for agitation
Haloperidol
2 medications to reduce secretions
Hyoscine and Glycopyrronium
4 main symptoms in LDOLs
Respiratory secretions
N & V
Pain
Agitation