Palliative care

Question 1

breakthrough morphine should be

Answer 1

1/6 of daily dose

Question 2

1/6 of daily dose

Answer 2

breakthrough morphine

Question 3

when prescribing morphine also

Answer 3

prescribe laxative, antiemetic

Question 4

prescribe laxative, antiemetic when prescribing

Answer 4

opiates

Question 5

opiates to use in CKD

Answer 5

alfentanil, buprenorphine, fentanyl

Question 6

alfentanil, buprenorphine, fentanyl to be used in

Answer 6

CKD

Question 7

metastatic bone pain management

Answer 7

opiates, bisphosphonates, radiotherapy

Question 8

opiates, bisphosphonates, radiotherapy are uesd for

Answer 8

metastatic bone pain

Question 9

when increaseing morphine does do so by

Answer 9

30-50%

Question 10

PO codeine to PO morphine

Answer 10

/10

Question 11

PO tramadol to PO morphine

Answer 11

/10

Question 12

/10

Answer 12

PO tramadol or codeine to PO morphine

Question 13

PO morphine to PO oxycodone

Answer 13

/1.5

Question 14

PO oxycodone to s/c diamorphine

Answer 14

/1.5

Question 15

/1.5

Answer 15

PO morphine to PO oxycodone and PO oxycodone to s/c diamorphine

Question 16

PO morphine to s/c diamorphine

Answer 16

/3

Question 17

/3

Answer 17

PO morphine to s/c diamorphine

Question 18

12 microgram fentanyl patch to PO morphine

Answer 18

30 mg

Question 19

30mg PO morphine to fentanyl patch

Answer 19

12 microgram patch

Question 20

10 microgram buprenorphine patch to PO morphine

Answer 20

24mg

Question 21

24mg PO morphine to buprenorphine patch

Answer 21

10 microgram patch

Question 22

PO morphine to s/c morphine

Answer 22

/2

Question 23

/2

Answer 23

PO morphine to s/c morphine

Question 24

syringe driver pros

Answer 24

constant infusion therefore no drug peaks/troughs, able to go home with it, mobile

Question 25

constant infusion therefore no drug peaks/troughs, able to go home with it, mobile

Answer 25

syringe driver pros

Question 26

syringe driver cons

Answer 26

not suitable for long term due to site irritation, abscesses, continual need for resiting, only permits short term breaks e.g. for showering

Question 27

not suitable for long term due to site irritation, abscesses, continual need for resiting, only permits short term breaks e.g. for showering

Answer 27

cons of syringe drivers

Question 28

prescribing controlled drugs in discharge summaries

Answer 28

write: dose, route, frequency, "please supply dose x N ampules/tablets/mLs", have to write N in numbers and letters

Question 29

write: dose, route, frequency, "please supply dose x N ampules/tablets/mLs", have to write N in numbers and letters

Answer 29

when prescribing controlled drugs

Question 30

controlled drugs can only be prescribed by

Answer 30

F2 and above

Question 31

MST

Answer 31

morphine sulphate modified release, for background pain management

Question 32

oromorph

Answer 32

quick release for breakthrough pain

Question 33

sevredol

Answer 33

morphine sulphate normal release, tablet form, for breakthrough pain

Question 34

morphine sulphate normal release, tablet form, for breakthrough pain

Answer 34

sevredol

Question 35

hiccup management in palliative care

Answer 35

chlorpromazine (first line), haloperidol, gabapentin, dexamethazone (hepatic lesions)

Question 36

opioid SE

Answer 36

N, drowsiness (transient), constipation (persistent), pruitis, resp depression, dependence

Question 37

syringe driver N+V

Answer 37

cyclizine, levomepromazine, haloperidol, metoclopramide

Question 38

syringe driver respiratory secretions

Answer 38

hyoscine hydrobromide

Question 39

syringe driver bowel colic

Answer 39

hyoscine butylbromide

Question 40

syringe driver agitation/restlessness

Answer 40

midazolam, haloperidol, levomepromazine

Question 41

syringe driver pain

Answer 41

diamorphine

Question 42

hyoscine hydrobromide is used to aleviate

Answer 42

respiratory secretions

Question 43

hyoscine butylbromide is used to alieviate

Answer 43

bowel colic

Question 44

diamorphine is the preferred opiate for

Answer 44

syringe drivers