Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Yr 3 cancer > palliative care key points > Flashcards

palliative care key points Flashcards

1
Q

Palliative mx of breathlessness

A
  1. rx of reversible cause
  2. oxygen
  3. morphine sulfate low dose
  4. lorazepam sublingual
  5. anti-depressants
  6. non-pharm
  • positioning
  • fan
  • CBT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

softening laxatives

A

docusate sodium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

stimulant laxatives and when to avoid them

A

senna
bisacodyl
docusate sodium

cramping, avoid in obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

bulking laxatives and when not to use them

A

bran
fybogel

not in pall care - cant use with poor oral intacke or bowel motility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

mech of bulking laxatives

A

increase fecal mass -> stimulating peristalsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

osmotic laxatives

A

lactulose
movicol / laxido

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

which laxatives do you use in pall care

A
  1. stimulent / osmotic
    • the other
  3. suppository
  4. small enema
  5. phosphate enema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when to use cyclizine

A
  • central vomiting
  • CNS lesions
  • labyrinthitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when not to use cyclizine

A
  • irritant SC
  • severe heart failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when to use ondansetron

A
  • post chemo
  • abdo surgery
  • abdo radiotherapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when not to use ondansetron

A

very constipating
QT prolongation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when to use haloperidol

A
  • chemical causes
  • renal failure
  • drug induced
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

when not to use haloperidol

A
  • lowers seizure threshold
  • parkinsons
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when to use metoclopramide / domperidone

A
  • delayed GI transit
  • bowel obstruction w/o colic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when not to use metoclopramide / domperidone

A
  • bowel obstruction with colic
  • parkinsons
  • cardiac conduction dosorders
  • young women
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when to use levomepromazine

A

3rd line

17
Q

when not to use levomepromazine

A

long half life
sedating

  • lowers seizure threshold
  • severe heart failure
  • CVS disease
  • parkinsons
18
Q

common causes of nausea in pall care

A
19
Q

WHO pain ladder

A
20
Q

converting from oral morphine to SC morphine

A

divide by 2

21
Q

converting from second line opioid to oral morphine

A

divide by 10

22
Q

converting from oral morphine mg to fentanyl patch micrograms

A

divide by 3

23
Q

how often are sustained release morphine given

A

BD

24
Q

what is the % of oral morphine for PRN

A

1/6

25
Q

converting from oral morphine sulfate to oral oxycodone

A

divide by 2

26
Q

which opioids are safe in renal failure

A

fentanyl
alfentanil
buprenorphine

27
Q

what are the anticipatory end of life medications

A

Yr 3 cancer (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions