Palliative Care Flashcards
What can be given for pruritus to a patient who can no longer swallow?
Lignocairne 200mg in SCI
There is no survival advantage to dialysis if a patient is over 75 years and has 2 or more co-morbidities. True/False
True, one of those co-morbidities should be CCF or IHD
Evening primrose oil is a good therapy for uraemia pruritus. True/False
True. 1-2 capsules BD (200mg)
In what situation (according to CPG) is it reasonable to forego dialysis in a patient over 75 years?
- Surprise question +
- High co-morbidity score
- Impaired functional status
- Severe malnutrition
What did Carson et al find re: increased longevity among elderly who were commenced on dialysis?
80% of survival benefit was spent either in dialysis or hospitalised with complications secondary to same.
What treatment is good for uraemia jerks?
clonazepam or midazolam
What treatment is good for pre-terminal delirium?
Haloperidol and midazolam
Over what time frame would you expect an anuric patient to pass away?
7-10 days
What treatment is good for restless legs syndrome, chronic pain in dialysis ,and cramps?
Gabapentanoids
