Palliative care formulary Flashcards
What factors need to be taken into consideration when deciding on a drug dose?
- Age
- Weight
- Renal function
- Liver function
What drugs do we have available for pain management?
- Morphine (oral or sub-cut)
- Tramadol
- Paracetamol
- Carbamazepine
- Amitryptiline
- Diclofenac
What are the dosage, route and dose interval for oral morphine?
Morphine oral solution:
- Starting dose: 5-10mg/5ml
- Oral
- 4 hourly
What are the dosage, route and dose interval for sub-cut morphine?
Morphine sulphate injection:
- 10-15mg/ml
- Sub-cutaneous
- 4-24 hourly
What are the dosage, route and dose interval for tramadol?
Tramadol:
- 50mg
- Oral
- 4 hourly
What are the dosage, route and dose interval for paracetamol?
Paracetamol:
- 500-1000mg
- Oral
- 6 hourly
What is hyoscine butyl bromide prescribed for?
Cramps
Mucus hyper-secretion
What are the dosage, route and dose interval for hyoscine butyl bromide?
- 20mg
- Oral, sub-cutaneous, IM
- 8 hourly
What is the drug of choice for cramps or mucus hyper secretion?
Hyoscine butyl bromide
What is the drug of choice for shooting neuropathic pain?
Carbamazepine
What is the drug of choice for burning neuropathic pain?
Amitryptiline
What are the two main options available for treating nausea?
Haloperidol
Metoclopramide
What is the drug of choice for inflammatory pain?
Diclofenac
Which drug would you use in delirium?
Haloperidol
Which drug would you use in a patient with anxiety or insomnia?
Lorazepam