Supportiva Care For Cancer Px Flashcards
(27 cards)
What are the physiological symptoms?
Anxiety
Depression
Hopelessness
Irritability
Confusion
Delirium
What are the types of pain?
Nociceptive pain = Somatic pain & Visceral pain
Neuropathic pain = injury to nerve tissue from disordered nerve signals
What are the metastasis on the bone?
Infiltrate the neurovascular bundles causing the pain
What are the different neuroleptics for neuropathic pain?
Gabapentin
Pregabalin
Radiation therapy
What kind of trteatment is given to people with bone pain & abdominal pain & used for reducing inflammation?
Glucocorticoids (preferably Dexamethasone)
What type of narcoleptics are given to moderate to severe pain?
Tramadol
Morphine (Plain)
Oxycodone (Oxynorm)
What are the non-opioids are used in mild pain?
Paracetamol
NSAIDs
COX-2inhibitors
What is used fir alternative in px with history of GI bleeding?
Acetaminophen
What are drugs used for moderate pain?
Tramadol & Codeine
What are the drugs used in severe pain?
Opioids: Morphiine, Oxycodone, and Fentanyl
What are adjuvants used for?
To enhance pain reliever -> used in Neuroleptics
What are Adjuvants that are Neuroleptics?
Gabapentin
Pregabalin
Radiation therapy
In severe pain, what is the route of administration in px with severe pain?
Opioid IV then shift to oral
What is used in breakthrough pain and how often?
These are short-acting “rescue dose”
Oral dose given every 2 hours
What is the most common and persistent side effects of opioids?
Constipation
What are the CV effects of Tramadol?
Serotonin syndrome -> arrhythmia
What are the CV effects of Morphine?
HIstamine release -> Vasodilation -> HYpotension
What are the CV effects of Fentanyl?
Used with benzodiazepines -> DEC CO & BP
What are the CV effects of Oxycodone?
Bradycardia
Hypotension
Orthostatic HYPOtension
What is the additional 4th step in WHO analgesic ladder?
Invasive tx = admin of medicine direclty to the nerve (pain)
What are the different blocks used as the 4th step in analgesic ladder?
Celiac Plexus block = pancreatic cancer
Brachial Plexus block = advanced breast cancer
Epidural ccatheter = udnergoing durgery
What are other causes of constipation in px who take opioids?
Hypercalcemia
Antidepressants
Tx with laxatives and hydration (needed) in these cases
What are the diff types of laxatives?
Osmotic laxatives
Stool softeners
Suppositories and enemas
Fiber (Psyllium)
Stimulant laxatives
What are the best type of laxatives?
Stimulant laxatives (prune juice, Senna, Bisacodyl (Dulcolax)
