Palliative care formulary Flashcards

1
Q

What factors need to be taken into consideration when deciding on a drug dose?

A
  • Age
  • Weight
  • Renal function
  • Liver function
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2
Q

What drugs do we have available for pain management?

A
  • Morphine (oral or sub-cut)
  • Tramadol
  • Paracetamol
  • Carbamazepine
  • Amitryptiline
  • Diclofenac
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3
Q

What are the dosage, route and dose interval for oral morphine?

A

Morphine oral solution:

  • Starting dose: 5-10mg/5ml
  • Oral
  • 4 hourly
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4
Q

What are the dosage, route and dose interval for sub-cut morphine?

A

Morphine sulphate injection:

  • 10-15mg/ml
  • Sub-cutaneous
  • 4-24 hourly
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5
Q

What are the dosage, route and dose interval for tramadol?

A

Tramadol:

  • 50mg
  • Oral
  • 4 hourly
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6
Q

What are the dosage, route and dose interval for paracetamol?

A

Paracetamol:

  • 500-1000mg
  • Oral
  • 6 hourly
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7
Q

What is hyoscine butyl bromide prescribed for?

A

Cramps

Mucus hyper-secretion

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8
Q

What are the dosage, route and dose interval for hyoscine butyl bromide?

A
  • 20mg
  • Oral, sub-cutaneous, IM
  • 8 hourly
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9
Q

What is the drug of choice for cramps or mucus hyper secretion?

A

Hyoscine butyl bromide

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10
Q

What is the drug of choice for shooting neuropathic pain?

A

Carbamazepine

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11
Q

What is the drug of choice for burning neuropathic pain?

A

Amitryptiline

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12
Q

What are the two main options available for treating nausea?

A

Haloperidol

Metoclopramide

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13
Q

What is the drug of choice for inflammatory pain?

A

Diclofenac

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14
Q

Which drug would you use in delirium?

A

Haloperidol

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15
Q

Which drug would you use in a patient with anxiety or insomnia?

A

Lorazepam

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16
Q

What type of pain would you prescribe carbamazepine for?

A

Shooting neuropathic pain

17
Q

What type of pain would you prescribe amitryptiline for?

A

Burning neuropathic pain

18
Q

What type of pain would you prescribe diclofenac for?

A

Inflammatory pain

19
Q

What are the dosage, route and dose interval for carbamazepine?

A
  • 100-200mg
  • Oral
  • 12 hourly
20
Q

What are the dosage, route and dose interval for amitryptiline?

A
  • 10-50mg
  • Oral
  • Once per 24 hours, at night
21
Q

What are the dosage, route and dose interval for haloperidol?

A
  • 0,5mg-1,5mg
  • Oral, sub-cutaneous
  • 12 hourly
22
Q

What are the dosage, route and dose interval for metoclopramide?

A
  • 10mg
  • Oral, IM
  • 8 hourly
23
Q

What are the dosage, route and dose interval for diclofenac?

A
  • 25-50mg
  • Oral
  • 8 Hourly
24
Q

What are the dosage, route and dose interval for lorazepam?

A
  • 1mg
  • Oral, sub-lingual
  • Anxiety: 8 hourly
  • Insomnia: at bedtime