What dose of IR morphine should generally be given when initiating therapy?
5-10mg every 4/24
7 of 36
If a patient is taking codeine 60mg PO QDS, but needs to be switched to morphine, what regular dose of morphine should they receive initially?
4mg every 4/24
8 of 36
If a persons initial dose of morphine is calculated to be 4mg every 4/24, what dose of oramorph would be the most clinically appropriate to give?
2.5ml
9 of 36
How do you work out what dose of opioid to give initially for breakthrough pain?
1/6 of total daily MR dose
10 of 36
True or false: Morphine is safer than oxycodone in mild renal impairment?
False
11 of 36
True or false: Oxycodone is much more expensive than morphine?
True
12 of 36
Pain management should be reviewed frequently. If patient requires 2 extra doses as well as regular morphine then the basal dose may need to be increased. How may this be done?
Add the total of all PRN doses over past 24 hours to current dose
13 of 36
What is the codeine/ DHC potency ratio to oral morphine?
10 to 1
14 of 36
What is the tramadol potency ratio to oral morphine?
5 to 1
15 of 36
What is the oral oxycodone potency ratio to oral morphine?
1 to 2
16 of 36
What is the oral methadone potency ratio to oral morphine?
1 to 5-10
17 of 36
What is the SC alfentanil potency ratio to oral morphine?
1 to 30
18 of 36
What is the TD buprenorphine potency ratio to oral morphine?
1 to 100
19 of 36
What is the TD fentanyl potency ratio to oral morphine?
1 to 100
20 of 36
Which drug is being described: "reduce tumour mass/ pain due to compression or infiltration, reduces headache due to cerebral oedema"
Dexamethasone
21 of 36
Which drugs is 1st line in NV due to drug related or metabolic distrurbances or if anxiety coexists
Haloperidol
22 of 36
Which drug is 1st line in NV associated with gastritis, gastric stasis, functional bowel obstruction, or opioid induced NV?
Metoclopramide
23 of 36
True or false: the action of metaclopramide is antagonised by anticholinergics?
True
24 of 36
What drug is useful is NV associated with mechanical bowel obstruction, raised intracranial pressure and motion sickness?
Cyclizine
25 of 36
What drug can be used to treat chemo induced NV or can be used as an adjunct if all else fails?
Dexamethasone
26 of 36
Which drug may be useful in NV associated with bowel obstruction as it reduces gastric acid secretions?
Octreotide
27 of 36
Which drug has 3rd or 4th line use in chemo associated NV associated with bowel obstruction and gut related vomiting?
Ondansetron
28 of 36
What drug is first line for depression?
Low dose mirtazapine
29 of 36
True or false: dexamethasone can produce rapid mood elevation?
True
30 of 36
What drugs can be used in palliative care for an intractable cough?
Nebulisers, opioids
31 of 36
What drugs can be used in palliative care for hiccups
Metoclopramide, baclofen
32 of 36
What drugs can be used in palliative care for fungating growths?
Metronidazole
33 of 36
What drugs can be used in palliative care for capillary bleeding?
Tranexamic acid, topical adrenaline
34 of 36
What drugs can be used in palliative care for pruritis?
Emollients, antihistamines
35 of 36
What drugs can be used in palliative care for insomnia?
Temazepam, zopiclone
36 of 36
Other cards in this set
Card 2
Front
What type of pain is being described: " Deep, poorly localised ache, responds well to opioid and non-opioid analgesics"
Back
Nociceptive - visceral
Card 3
Front
What type of pain is being described: "Burning, sharp, stabbing, shooting, itching"
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