Palliative med Flashcards
(9 cards)
What is the calculation for oral to subcutaneous morphine conversion?
Divide by two
What is the calculation for oral codeine to oral morphine conversion?
Divide by 10
How much increase if pain not controlled?
Increase morphine doses by 30-50%
What is the appropriate dosing for breakthrough opioids ?
Breakthrough opioids should be dosed between one-sixth and one-tenth of the total daily dose of maintenance opioids
How to convert from oral morphine to SC diamorphine?
Divide by 3
What is used first-line to manage secretions in a palliative care setting?
What other condition does it treat?
Hyoscine hydrobromide or hyoscine butylbromide
Bowel colic
What is the treatment of hiccups in palliative care?
Chlorpromazine or haloperidol
What is the next line if metastatic bone pain does not respond to opioids?
Bisphosphonates (intravenous pamidronate and zoledronic acid) or radiotherapy
What is used in reducing the discomfort associated with a painful mouth that may occur at the end of life?
Benzydamine hydrochloride mouthwash or spray