Palliative care

Question 1

What is step 1 in pain management?

Answer 1

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Question 2

What is step 2 in pain management?

Answer 2

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Question 3

What is step 3 in pain management?

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Question 4

What is breakthrough pain?

Answer 4

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Question 5

What is Modified release opiod and when is it given?

Answer 5

12 hourly preperation given in the morning and at bed time

MST or zomorph

Question 6

What is immediate release opiod?

Answer 6

Only lasts for 4 hours
Given for breakthrough pain
Oromorph or sevredol

Question 7

How is the dose of morphine calculated/started?

Answer 7

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Question 8

How much should the dose of morphine be for the breakthrough pain?

Answer 8

1/6th of the background dose

Question 9

What are symptoms of opiod toxicity?

Answer 9

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Question 10

Why is myoclonus?

Answer 10

Sudden jerking movements

Question 11

What is important to check when a patient becomes opiod toxic?

Answer 11

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Question 12

What can reverse morphine quickly?

Answer 12

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Tiny doses every few minutes until respiratory depression improves (?)

Question 13

What is another opiod and why must the dose be changed when swapping from morphine?

Answer 13

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Question 14

How is dying recognized?

Answer 14

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Question 15

What conditions can mimic dying?

Answer 15

Opiod toxicity
Sepsis
Hypercalcaemia
AKI
Hypoglycaemia

Question 16

How is comfort maintained at the end of life?

Answer 16

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Question 17

When are syringe drivers used?

Answer 17

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Question 18

How many medications can be given via a syringe driver?

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Question 19

How strong is subcutaneous morphine compared to oral morphine?

Answer 19

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Question 20

What is prescribed in anticipation when the patient has Pain/SOB?

Answer 20

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Question 21

What is prescribed in anticipation when the patient has Distress?

Answer 21

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Question 22

What is prescribed in anticipation when the patient has Nausea?

Answer 22

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Question 23

What is prescribed in anticipation when the patient has Secretions?

Answer 23

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Question 24

Are SCUT/IV fluids normally used in the final days of life and why/why not?

Answer 24

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Question 25

When may IV fluids used in the final days of life?

Answer 25

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Question 26

How can death be verified?

Answer 26

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