palliative

Question 1

first line for agitation in palliative

Answer 1

haloperidol but if in terminal phase of illness then midazolam

Question 2

hiccups

Answer 2

chlorpromazine

Question 3

what chemical abnormality can lead to constipation

Answer 3

hypercalaemia

Question 4

vomiting due to raised intra cranial pressure

Answer 4

cyclizine

Question 5

if vimiting due to reduced gastric motility can use

Answer 5

metoclopramide and domperidone but watch metoclopramide if complete obstruction or worry about perforation

Question 6

when starting opioids pts should be advised that what is often transient

Answer 6

nausea and drowsiness

Question 7

what opined should be used in palliative pts if got renal impairment

Answer 7

oxycodone
if more severe then
buprenorphine and fentanyl

Question 8

when increasing dose in palliative should increase by –

Answer 8

30-50%

Question 9

oral codeine/tramadol to oral morphine

Answer 9

divide by 10

Question 10

oral morphine to oral oxycodone

Answer 10

divided by 1.5-2

Question 11

12mg fentanyl patch equates to

Answer 11

20mg oral morphine

Question 12

buprenorphine 10mg patch equates to 24mg morphine

Question 13

oral morp to subcut morph

Answer 13

divide by 2

Question 14

avoiding secretions

Answer 14

avoid fluid overload - stop fluids
advise family they are not troubled by secretions

Question 15

secretions/ bowel colic

Answer 15

hyoscine butyl bromide

Question 16

preferred opiod in a syringe driver

Answer 16

diamorphine