Palliative Care

Question 1

How is mild pain managed?

Answer 1

Paracetamol 1g 4x daily +/- NSAID 500mg 2x daily

Question 2

How is moderate pain managed?

Answer 2

Codeine 30-60mg 4x daily or co-codomol 30/500 2 tabs 4x daily

Question 3

How is severe pain managed?

Answer 3

Stop codeine and switch to morphine

Question 4

Do people who take morphine for pain tend to get addicted?

Answer 4

No

Question 5

What drug is used to reverse severe respiratory depression in morphine use?

Answer 5

Naloxone

Question 6

Give some symptoms of opioid toxicity

Answer 6

Hallucinations
Myoclonus
Drowsiness

Question 7

What are the two types of morphine tablet?

Answer 7

Modified release

Immediate release

Question 8

How often is MR morphine taken?

Answer 8

Twice daily

Question 9

Immediate release morphine is what fraction of MR morphine?

Answer 9

1/6

Question 10

Morphine is approximately what times stronger than codeine?

Answer 10

10x

Question 11

What is the smoothest delivery of drugs for dying patients?

Answer 11

Syringe drivers

Question 12

Morphine is half as potent when given SC. True/false?

Answer 12

False - twice