Palliative care: Flashcards
1
Q
What are the main aims of Palliative care?
A
- ^ QOL for the patient and family
- Symptoms control
- Social, psychosocial and spiritual needs addressed
2
Q
Define palliative care:
A
The active total care of the patient whose disease is incurable.
3
Q
Give 4 issues with palliative care:
A
- Transition from curative -> Palliative = difficult for patients
- Prolong of poor QoL vs. euthanasia
- Symptom control vs. drug SEs
- Resource allocation
4
Q
What are the 5A’s of Palliative care?
A
(3 Antis and 2 others)
- Antiemetics
- AntiPsychotic
- Anti-secretory
- Analgesia
- Anxiolytic
5
Q
Give 2 examples of antiemetics:
A
5HT- antagonist:
- Mirtazepine (tetracyclic AD)
Dopamine antagonist:
- Domperidone
6
Q
Outline the analgesic ladder:
A
- NSAIDS
- Week opioid (codeine)
- Mod opioid (^ codeine)
- Strong opioid (morphine)
- Epidural, PCA pump
7
Q
Give the anxiolytic often used in pallative care:
A
Midazolam
8
Q
What antipsychotic is usually used in palliative care (same one as in delirium)?
A
- Levomepromazine
9
Q
What anti-secretory agent is used?
A
Hyoscine hydrobromide
