Palliative med Flashcards

(9 cards)

1
Q

What is the calculation for oral to subcutaneous morphine conversion?

A

Divide by two

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2
Q

What is the calculation for oral codeine to oral morphine conversion?

A

Divide by 10

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3
Q

How much increase if pain not controlled?

A

Increase morphine doses by 30-50%

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4
Q

What is the appropriate dosing for breakthrough opioids ?

A

Breakthrough opioids should be dosed between one-sixth and one-tenth of the total daily dose of maintenance opioids

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5
Q

How to convert from oral morphine to SC diamorphine?

A

Divide by 3

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6
Q

What is used first-line to manage secretions in a palliative care setting?
What other condition does it treat?

A

Hyoscine hydrobromide or hyoscine butylbromide
Bowel colic

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7
Q

What is the treatment of hiccups in palliative care?

A

Chlorpromazine or haloperidol

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8
Q

What is the next line if metastatic bone pain does not respond to opioids?

A

Bisphosphonates (intravenous pamidronate and zoledronic acid) or radiotherapy

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9
Q

What is used in reducing the discomfort associated with a painful mouth that may occur at the end of life?

A

Benzydamine hydrochloride mouthwash or spray

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