Palliative Medicine Flashcards
Conversion rate - subcutaneous morphine : oral morphine
1 : 3
Conversion rate - oxycodone : morphine
1 : 1.5
Conversion rate - hydromorphone : morphine
1 : 5
Conversion rate - tapentadol : morphine
2.5 : 1
Conversion rate - tramadol : morphine
5 : 1
Conversion rate - fentanyl transdermal : morphine
25 microg/hr = 90 mg/day
Treatment of neuropathic pain
Tricyclic antidepressants
SSRI / SNRI
Pregabalin
Gabapentin
Treatment of fibromyalgia
Amitriptyline
Pregabalin
Duloxetine
ECOG 0
Fully active, no performance restrictions
ECOG 1
Strenuous physical activity restricted, fully ambulatory and able to carry out light work
ECOG 2
Capable of all self care but unable to carry out any work activities, up and about more than 50% waking hours
ECOG 3
Capable of only limited self care, confined to bed or chair more than 50% waking hours
ECOG 4
Completely disabled, cannot carry out any self care, totally confined to bed or chair