Mr Smith is 75 years old and has metastatic prostate cancer. You are reviewing his analgesia requirement as he is requesting Oramorph from the GP surgery earlier than normal. He is on Morphine Sulphate 30mg modified-release tablets twice daily. He is now requiring 5mg of Oramorph 8 times a day. What dose of Morphine Sulphate …
Mrs Lenton is 88 years old with end-stage lung cancer and is suspected to have opioid toxicity following a recent up-titration in her analgesic medications. Which one of the following symptoms is least associated with opioid toxicity?
Mr Gibbons is a 64 year old gentleman who has unfortunately been diagnosed with metastatic lung cancer. He has been deteriorating in the past few days as he is very weak, has limited intake of food and drink and is mostly bedbound. A decision is made to commence a syringe driver with medication to help …
Julie is a 67 year old lady who has end stage COPD and is suffering with breathlessness. There is no history of fever, chest pain or productive cough. Which one of the following options is least likely to be used in the management of dyspnoea in palliative care?
Mr Stokes is a frail housebound patient with metastatic prostate cancer. He was seen on a GP home visit earlier in the day and his health had evidently declined. He was having 100mg daily morphine via a syringe driver. However, he was struggling with the side effects of this and after discussion with the patient’s …
Mrs Thomas is an 85 year old lady who is seen on a home visit by her GP. She has metastatic colorectal cancer and is struggling with pain. She has been on Morphine Sulphate modified-release tablets for several months and takes 20mg twice daily. On top of this she requires 5mg of Oramorph on average …
Mr Stokes is a frail housebound patient with metastatic prostate cancer. He was seen on home visit earlier in the day and his health had evidently declined. He appeared in a lot of pain despite having 100mg daily morphine via a syringe driver. However he was struggling with the side effects of this and after …
Mrs Raymonds is an 83 year old lady seen on a home visit who is bedbound and known to have metastatic colorectal cancer. She has deteriorated considerably over the last 2 weeks and you speak to her family also who agree that a syringe driver should be commenced. Which of the following medications are suitable …
Mr Smith is a 75 year old man with metastatic prostate cancer. You are reviewing his analgesia requirement as he is requesting Oramorph earlier than normal. He is on Morphine Sulphate 30mg modified-release tablets twice daily. He is now requiring 5mg of Oramorph 8 times a day. What dose of Morphine Sulphate modified-release tablets should …
Mrs Thomas is an 85 year old lady who has metastatic colorectal cancer and is struggling with pain. She has been on Morphine Sulphate modified-release tablets for several months and takes 20mg twice daily. On top of this she requires 5mg of Oramorph on average 8 times a day. What dose of Morphine Sulphate modified-release …
