Palliative

Question 1

List the end of life meds and their uses

Answer 1

Glycopyrronium- secretions
Midazolam - seizures
Morphine - pain and SOB
Haloperidol - confusion and agitation

Question 2

How do we manage breathlessness?

Care of the dying adult: NICE guideline

Answer 2

Consider managing breathlessness with:

an opioid1 or
a benzodiazepine1 or
a combination of an opioid1 and benzodiazepine1.

Do not routinely start oxygen to manage breathlessness. Only offer oxygen therapy to people known or clinically suspected to have hypoxaemia.

Question 3

For people in the last days of life with OBSTRTUCTIVE bowel disorders who have nausea or vomiting, consider:

Answer 3

hyoscine butylbromide2 as the first-line pharmacological treatment

Question 4

How do we manage anxiety or agitation in end of life care?

Answer 4

Treat any reversible causes of agitation, anxiety or delirium, for example, fear and psychological causes, or certain metabolic disorders.

Consider a trial of a benzodiazepine Diazepam to manage anxiety or agitation. or midazolam

Question 5

How is nausea and vomiting managed?

Answer 5

Cyclizine

Haloperidol

Question 6

How is end of life delirium managed?

Answer 6

Haloperidol

Olanzapine

Question 7

what to prescribe in bowel dysmotility?

Answer 7

domperidone

metoclopromide