Palliative care medicine Flashcards
1
Q
Conversion of codeine and tramadol to morphine
A
Divide by 10
2
Q
Morphine to diamorphine conversion
A
Divide by 3
3
Q
Conversion morphine to oxycodone
A
Divide by 1.5-2
4
Q
PO morphine to Subcutaneous
A
Divide 2
5
Q
PO morphine to Subcutaneous diamorphine
A
Divide 3
6
Q
What can you put in a syringe driver for bowel colic/obstruction + respiratory secretions?
A
Hyoscine hydro/butylbromide + glycoperronium
7
Q
What is a problem with cyclizine in a syringe driver?
A
Can precipitate with other drugs including clonidine, dexamethasone, hyoscine butylbromide (occasional), ketamine, ketorolac, metoclopramide, midazolam, octreotide, sodium chloride 0.9%
8
Q
If pain not controlled in palliative patients what should
A
30-50%