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11 Cards in this Set
- Front
- Back
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What should we be concerned with for exam?
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Management of :
Pain Constipation Nausea Dry mouth Avoidance of delirium |
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Which drugs commonly cause delirium in these patients?
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Anticholinergic Drugs
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How is pain managed in these patients?
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Fentanyl patch
co-analgesic -co medication |
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When is it 'Not a crime' to cause death to a patient?
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When the aim is to treat pain
The treatment can be so aggressive but can cause repiratory depression and death |
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What is the algorithm for initiating and titrating opiod for use in controlling pain?
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Start with 30mg of sustained release prepatation given
Supply a rapid release solution as a rescue medication For dose finding *Start with 10mg IV/SC *Titrate until a dose is reached where the patient is free of pain for one day -increments of 25-50 % * Add up the total amount given for that day *Multiply by 3 to get the oral daily dose *then divide by 3 to get the sustained release oral daily dose |
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What should be done if this formula ceases to work after sometime?
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Multiply the previous dose by 1.5
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What drugs are used to treat constipation in these patients?
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Dry plums
Stool softners -Docusate sodium Mild irritant laxatives -Besacodyl Mineral oil Enema Digital disimpacttation |
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How is dry mouth treated?
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Patients can be given a wet rag to suck on
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How is Nausea treated in thes patients?
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H2 blockers e.g Ranitidine
Metoclopramide -may cause psychosis Erythromycin 5HT3 antagonists e.g Ondansetron Glucocorticods e'g dexamethasone Scopolamine, Butylscopolamine, Hyoscamine |
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When do these slides end?
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Now..THE END
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And this was all we had to concentrate on?
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Yup
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