Palliative Care

Question 1

What should be started to begin with for pain control in EOLC?

Answer 1

Regular oral modified release or oral immediate release morphine
Oral immediate release morphine for breakthrough pain

Question 2

What should be used in preference to transdermal morphine?

Answer 2

Oral modified release morphine

Question 3

What should be prescribed for all patients prescribed strong opiods?

Answer 3

Laxatives

Question 4

How much breakthrough morphine (dose) should be given of the daily dose of morphine?

Answer 4

1/6th

Question 5

Who should opiods be cautiously used in?

Answer 5

Patients with CKD

Question 6

What drug is preferred rather than morphine in patients with mild - mod renal impairment?

Answer 6

Oxycodone

Question 7

What drugs are preferred rather than morphine in patients with severe renal impariement?

Answer 7

Alfentanil
Buprenorphine
Fentanyl

Question 8

What may metastatic bone pain respond to?

Answer 8

Strong opiods
Bisphosphonates
Radiotherapy
Denosumab

Question 9

When increasing the dose of opiods, what should it be increased by?

Answer 9

30-50%

Question 10

S/Es opiods

Answer 10

Nausea
Drowsiness
Constipation

Question 11

What do you do to convert oral codeine to oral morphine?

Answer 11

Divide by 10

Question 12

What do you do to convert oral tramadol to oral morphine?

Answer 12

Divide by 10

Question 13

What do you do to convert oral morphine to oral oxycodone?

Answer 13

Divide by 1.5-2

Question 14

How to convert PO morphine to sc morphine?

Answer 14

Divide by 2

Question 15

How to convert PO morphine to s/c diamorphine?

Answer 15

Divide by 3

Question 16

How to convert PO oxycodone to s/c diamorphine?

Answer 16

Divide by 1.5

Question 17

Headaches caused by raised ICP due to brain cancer or mets can be palliated with what?

Answer 17

Dexamethasone

Question 18

What is used to manage secretions in a palliative care setting?

Answer 18

Hyoscine butylbromide