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Medicine > Palliative care > Flashcards

Palliative care Flashcards

1
Q

breakthrough morphine should be

A

1/6 of daily dose

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2
Q

1/6 of daily dose

A

breakthrough morphine

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3
Q

when prescribing morphine also

A

prescribe laxative, antiemetic

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4
Q

prescribe laxative, antiemetic when prescribing

A

opiates

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5
Q

opiates to use in CKD

A

alfentanil, buprenorphine, fentanyl

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6
Q

alfentanil, buprenorphine, fentanyl to be used in

A

CKD

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7
Q

metastatic bone pain management

A

opiates, bisphosphonates, radiotherapy

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8
Q

opiates, bisphosphonates, radiotherapy are uesd for

A

metastatic bone pain

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9
Q

when increaseing morphine does do so by

A

30-50%

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10
Q

PO codeine to PO morphine

A

/10

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11
Q

PO tramadol to PO morphine

A

/10

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12
Q

/10

A

PO tramadol or codeine to PO morphine

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13
Q

PO morphine to PO oxycodone

A

/1.5

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14
Q

PO oxycodone to s/c diamorphine

A

/1.5

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15
Q

/1.5

A

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

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16
Q

PO morphine to s/c diamorphine

A

/3

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17
Q

/3

A

PO morphine to s/c diamorphine

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18
Q

12 microgram fentanyl patch to PO morphine

A

30 mg

19
Q

30mg PO morphine to fentanyl patch

A

12 microgram patch

20
Q

10 microgram buprenorphine patch to PO morphine

A

24mg

21
Q

24mg PO morphine to buprenorphine patch

A

10 microgram patch

22
Q

PO morphine to s/c morphine

A

/2

23
Q

/2

A

PO morphine to s/c morphine

24
Q

syringe driver pros

A

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

25
Q

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

A

syringe driver pros

26
Q

syringe driver cons

A

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

27
Q

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

A

cons of syringe drivers

28
Q

prescribing controlled drugs in discharge summaries

A

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

29
Q

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

A

when prescribing controlled drugs

30
Q

controlled drugs can only be prescribed by

A

F2 and above

31
Q

MST

A

morphine sulphate modified release, for background pain management

32
Q

oromorph

A

quick release for breakthrough pain

33
Q

sevredol

A

morphine sulphate normal release, tablet form, for breakthrough pain

34
Q

morphine sulphate normal release, tablet form, for breakthrough pain

A

sevredol

35
Q

hiccup management in palliative care

A

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

36
Q

opioid SE

A

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

37
Q

syringe driver N+V

A

cyclizine, levomepromazine, haloperidol, metoclopramide

38
Q

syringe driver respiratory secretions

A

hyoscine hydrobromide

39
Q

syringe driver bowel colic

A

hyoscine butylbromide

40
Q

syringe driver agitation/restlessness

A

midazolam, haloperidol, levomepromazine

41
Q

syringe driver pain

A

diamorphine

42
Q

hyoscine hydrobromide is used to aleviate

A

respiratory secretions

43
Q

hyoscine butylbromide is used to alieviate

A

bowel colic

44
Q

diamorphine is the preferred opiate for

A

syringe drivers

Medicine (30 decks)

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