PALLIATIVE CARE Flashcards
(6 cards)
1
Q
Treatment of N+V?
- Central
- Peripheral
A
CENTRAL
- Vestibular: antihistamines
- Aprepitant: NK1
- Ondans: 5HT3 –> radio/chemo
- Benzos: GABA –> anxiety
PERIPHERAL
- Halo/Metaclop/Domp: not in Parkinson’s
- Use halo for chemical/drug induced
- Secretions: Ocretide, Ranitidine
2
Q
Steroid indications?
A
Low dose 2-4 mg/day
Appetite
Weakness
Mood
Mid dose 4-6 mg/day
Antiemetic
Co analgesic
High dose 16mg/day
Metastases compression/ obstruction
Raised ICP
3
Q
Pain calculations
- SC –> PO
- Morphine to oxycodone/ hydro morph
A
SC –> PO: 3 to 1
Morphine –> oxycodone: 1 to 1.5
4
Q
Treatment options for seizures?
A
Midaz: SC IV IM
Levetericetam: SC
Clonaz: SC SL IV
5
Q
SE’s of opioids?
A
Hyperalgesia
Myoclonus
Serotonin syndrome
Seizures –> benzo
Itch
6
Q
Disease trajectory of cancer
A
