5: Ageing and end of life care Flashcards Preview

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Flashcards in 5: Ageing and end of life care Deck (13)
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1

http://www.palliativecareguidelines.scot.nhs.uk/

2

WHO pain ladder

3

opioid withdrawal & naloxone

4

morphine dose for breakthrough pain is 1/6 of the background dose

5

to convert codeine dose to morphine dose, divide by 10

because morphine is 10x stronger

6

look at calculations

7

key information summary contains patient's wishes in the event of deterioration

8

death mimics:

opioid overdose

sepsis

hypercalcaemia

acute kidney injury

hypo

9

syringe driver

pump for continous subcutaneous infusion of drugs - pain management, secretions etc.

10

subcutaneous morphine is twice as potent as other routes

so half dose for syringe drivers

11

buscopan (hyoscine butylbromide) used to reduce respiratory secretions

morphine for pain

midalozam (class?) for distress

levomepromazine for nausea

12

myoclonus, hallucinations, vivid dreams --> opioid toxicity

13