You assess a 73-year-old man with metastatic bowel cancer who is in the final stage and has a syringe driver. Regrettably, he is experiencing intestinal obstruction and is distressed with bowel colic. Which medication should be included in the syringe driver?
A 70-year-old man with metastatic prostate cancer is experiencing increased pain and frequent vomiting while taking oral modified-release morphine sulphate 60mg bd. It has been decided to switch to subcutaneous administration. What is the appropriate dosage of morphine for a continuous subcutaneous infusion over a 24-hour period?
A syringe driver is ordered for a patient who is in the final stages of metastatic breast cancer. Which of the following medications is not compatible with dexamethasone, metoclopramide, and midazolam?
A 78-year-old male with multiple myeloma is currently suffering from sudden onset of back pain. He is taking 7.5mg morphine four times a day and 1g paracetamol four times a day as his regular oral analgesic medications. What is the appropriate dose of morphine for breakthrough pain in this case?
A senior gentleman with metastatic prostate cancer is being evaluated. He is presently managing his pain with MST 30 mg twice daily, but due to his inability to swallow medication, he has become lethargic. A syringe driver is being arranged. What would be the most suitable prescription?
A 72-year-old man who has recently undergone palliative radiotherapy for head and neck cancer visits the clinic complaining of constant diffuse mouth pain. Upon examination, there is widespread erythema with no visible focal lesions, ulceration, or candidiasis.
Apart from administering analgesics, what is the most suitable treatment?
Sarah is a 65-year-old woman with hepatocellular carcinoma, currently admitted to a hospice for end of life care. She is experiencing nausea without vomiting and would like something to help alleviate this.
During examination, she appears jaundiced and there is a significant amount of ascites present. She is feeling bloated and has not had a bowel movement in 3 days, but is passing gas.
What medication would be the most appropriate to address her nausea?