Palliative Care Flashcards
1
Q
What is step 1 in pain management?
A
paracetamol 1g 4x a day (or NSAID)
2
Q
What is step 2 in pain management?
A
codeine 30-60mg 4x a day
3
Q
What is step 3 in pain management?
A
morphine
4
Q
What type of morphine is used for background pain?
A
MST or zomorph 2xdaily tablet
5
Q
What type of morphine is used for breakthrough pain?
A
immediate release severdol (tablet) or oromorph (liquid)
6
Q
What does opioid toxicity present with?
A
hallucinations
myoclonus
drowsiness
7
Q
Why does opioid toxicity often occur?
A
due to impaired renal function as morphine cannot be excreted
8
Q
What can reverse morphine quickly?
A
naloxone
9
Q
What is oxycodone?
A
twice the strength of morphine
