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7 Cards in this Set
- Front
- Back
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What are the signs of imminent death?
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1. Increasing drowsiness
2. Increasing periods of disorientation and confusion 3. Peripheral shutdown and cyanosis 4. Altered breathing patterns 5. Rattles |
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What are the signs of days - weeks to live in people?
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1. Increasing motor weakness
2. Loss of appetite and thirst 3. difficulty swallowing 4. Biochemical changes: lymphopenia, hypoalbuminemia, hyponatremia. |
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What is the dose for opioid in dying pt?
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Morphine 2.5 - 5mg 2-4hrly
Other options: fentanyl |
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What is the medication and dose to Rx delirium in palliative care?
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Haloperidol 0.5-1mg4th hrly OR 2.5-5mg/24hrs.
C/I in Parkinson's pt - use OLANZAPINE. |
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What are the 3 types of delirium and which one do you treat in palliative care?
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1. Hyperactive
2. Hypoactive 3. Mixed Hyperactive delirium is Mx pharmacologically. Hypoactive is mx with environmental and supportive care. |
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What are the meds of choice in agitation and restlessness?
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- MIDAZOLAM 2.5-5mg 1-2hrly PRN or 10mg/24hr
- LORAZEPAM 0.5-1mg sublingual 4th hourly PRN |
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What are the meds for rattly respirations?
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- GLYCOPYRROLATE 0.2-2.0mg 2-4hrly PRN
- HYOSCINE 0.4-0.8mg 2-4hrly PRN |
