Prescribing in palliative care Flashcards
name two drugs for moderate pain
codeine and tramadol
name three drugs alternative to plain morphine for severe pain
oxycodone
methadone
hydromorphone
transdermal buprenorphine
transdermal fentanyl
name two approaches to bone pain
radiotherapy
bisphosphonates
the amount of additional morphine needed for breakthrough pain is usually what fraction of the original dose
one tenth to one sixth of the usual 24hr dose
repeat every 2-4hrs as required
(a subcut injection for breakthrough pain)
what should you routinely prescribe with morphine?
a laxative
pt is on 10mg of oral morphine. what is the equivalent IM / IV or subcut dose?
5mg
parenteral dose if half of oral dose for morphine
what drugs can help loss of appetite in palliative care?
prednisolone
dexamethasone
what drugs can help with bowel colic or resp secretions?
hyoscine butylbromide
also glycopyrronium bromide
what drug can be used to treat capillary bleeding
gauze soaked in tranexamic acid and adrenaline
dry mouth assoc w candidiasis can be treated with…
nystatin
miconazole
fluconazole
gastric pain in palliative care due to pressure on stomach?
domperidone (prokinetic)
pain of muscle spasm in palliative care?
baclofen
or diazepam
what is temazepam used for in palliative care?
insomnia
drug for pruritis assoc w obstructive jaundice in palliative care?
colestyramine
two drugs for restlessness and confusion in palliative care?
levomepromazine
haloperidol
midazolam
