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Med Spec (Oncology) > Palliative Care > Flashcards

Palliative Care Flashcards

1
Q

What other medications should you always prescribe alongside strong opioids?

A

Laxative and anti-emetic

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2
Q

The dose of oral morphine should be increased in increments of what?

A

30-50%

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3
Q

Once a patient’s total daily opioid dose is known, how should oral morphine be given?

A

Twice daily modified release preparation (MST)

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4
Q

How much of the total daily dose of morphine should be prescribed as Oramorph for breakthrough pain?

A

1/6th of the total daily dose

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5
Q

What opioid is first line in patients with mild-moderate renal failure?

A

Oxycodone

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6
Q

How often should a fentanyl patch be changed?

A

Every 72 hours

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7
Q

A 12mcg per hour fentanyl patch is equivalent to how much daily oral morphine?

A

45mg

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8
Q

What are some options of opioids that can be used in patients with severe renal failure?

A

Buprenorphine, fentanyl, alfentanil

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9
Q

How is a PO morphine dose converted to an IV or SC morphine dose?

A

Divide by 2

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10
Q

How is a PO morphine dose converted to an IV or SC diamorphine dose?

A

Divide by 3

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11
Q

How is a PO morphine dose converted to a PO oxycodone dose?

A

Divide by 2

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12
Q

How is a PO morphine dose converted to an IV oxycodone dose?

A

Divide by 3

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13
Q

1mg of SC alfentanil is equivalent to what dose of oral morphine?

A

30mg

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14
Q

How should the dose of oral codeine, dihydrocodeine or tramadol be converted to oral morphine?

A

Divide by 10

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15
Q

Which anti-emetic is first line for nausea and vomiting caused by reduced gastric motility?

A

Metoclopramide

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16
Q

Which anti-emetic is first line for chemically mediated nausea and vomiting?

A

Ondansetron

17
Q

Which anti-emetic is first line for nausea and vomiting secondary to raised ICP?

A

Cyclizine

18
Q

What medication can be used to reduce ICP in cancer patients, to help relieve symptoms?

A

Dexamethasone

19
Q

What is the first line medication for palliation of intractable hiccups?

A

Chlorpromazine

20
Q

What medication can be used for palliation of itch with jaundice?

A

Cholestyramine

21
Q

What medication can be used first line for palliation of agitation and hallucinations?

A

Haloperidol

22
Q

What are the four medications that are anticipatory prescribed at the end of life?

A

Morphine, midazolam, levomepromazine, hyoscine butylbromide

Med Spec (Oncology) (5 decks)

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