palliative care

Question 1

what is the breakthrough dose of morphine?

Answer 1

1/6th of the daily dose of morphine

Question 2

which opiod is preferred in patients with mild to moderate kidney disease?

Answer 2

oxycodone is preferred to morphine in these patients

Question 3

how much should the dose of opioids be increased by when increasing?

Answer 3

30-50%

Question 4

what’s the difference in the side-effect profile of oxycodone and morphine?

Answer 4

oxycodone is more constipating but morphine causes more sedation, vomiting and pruritus

Question 5

how do you convert coding to morphine dose?

Answer 5

divide codine dose by 10

Question 6

how to convert tramadol to morphine dose?

Answer 6

divide tramadol dose by 10

Question 7

how to convert oral morphine to oxycodone dose?

Answer 7

divide by 1.5

Question 8

how to convert oral morphine to submit morphine?

Answer 8

divide by 2

Question 9

how to convert oral mophine to subcutaneous diamorphine?

Answer 9

divide by 3

Question 10

how to convert oral oxycodone to subcutaneous diamorphine?

Answer 10

divide by 1.5

Question 11

what are the 2 most important bits of info to convey to someone starting tamoxifen?

Answer 11

• menstural distubance- vaginal bleeding, amenorrhoea
• VTE
• hot flushes
• endometrial cancer risk