Pass medicine - Oncology And Palliative Care Flashcards
Metastatic bone pain may respond to
Analgesia
Bisphosphonates
Radiotherapy
How can you provide pain relief for metastatic spinal cord compression
Dexamethasone
Which chemo agent is associated with hypomagnasaemia
Cisplatin
Which chemo agent can cause cardiomyopathy
Doxorubicin
Oral to subcut morphine conversion
Divide total daily dose by 2
How to calculate breakthrough dose
1/6 th of daily dose
How to convert oral morphine to diamorphine
Divide the total daily morphine dose by 3
What should be the starting treatment for oncology pain
20-30mg MR a day (in total) with 5mg for breakthrough (so 15mg bd plus breakthrough)
Cancer patient with CKD what pain relief should be used
Alfentanil
Buprenorphine
Fentanyl
When increasing the dose of opioids the next dose should be increased by
30-50%
What are the two main transient opioid side effects
Nausea and drowsiness
How do you convert from oral codeine to oral morphine
Divide by 10
How do you convert from oral tramadol to oral morphine
Divide by 10
Compare side effects of oxycodone to morphine
Oxy causes less sedation vomiting and pruritus than morphine but more constipation
How to you convert from oral morphine to oral oxycodone
Divide by 1.5-2 (currently 1.5 recommended as used to be 2)