Opiates in Symptom Relief for Lung Cancer Patients
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Opiates in Symptom Relief for Lung Cancer Patients

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Questions and Answers

What is the key advantage of using diamorphine (heroin) for the management of dyspnoea in lung cancer patients?

  • Diamorphine has anxiolytic and antitussive effects that make it ideal for lung cancer. (correct)
  • Diamorphine is less addictive than other opioids.
  • Diamorphine has no risk of respiratory depression.
  • Diamorphine is more effective than oral morphine for managing dyspnoea.

    • What is the recommended starting dose of oral morphine for a patient not already receiving morphine for dyspnoea?

  • 20 mg 4-hourly/prn
  • 10 mg 4-hourly/prn
  • 5 mg 4-hourly/prn (correct)
  • 2.5 mg 4-hourly/prn

    • For patients already receiving morphine, either for pain or dyspnoea, what is the recommended increase in the overall dose?

  • 20% to 30%
  • 50% to 70%
  • 30% to 50% (correct)
  • 10% to 20%

    • What is the recommended route of administration when the oral route is no longer available?

    <p>Continuous subcutaneous infusion</p> Signup and view all the answers

    What is the primary reason for the use of benzodiazepines in the management of dyspnoea in palliative care?

    <p>Benzodiazepines are commonly used to treat dyspnoea in palliative care, despite the lack of evidence for their efficacy.</p> Signup and view all the answers

    What is the main reason for not recommending the use of nebulized opiates for the management of dyspnoea?

    <p>The use of nebulized opiates is not recommended, according to the text.</p> Signup and view all the answers

    Why is intravenous or subcutaneous diamorphine often used for extreme dyspnoea and distress?

    <p>Intravenous or subcutaneous diamorphine provides more rapid relief than the oral route.</p> Signup and view all the answers

    What is the key concern regarding the use of benzodiazepines for the management of dyspnoea in palliative care?

    <p>Benzodiazepines have a higher risk of respiratory depression compared to opioids.</p> Signup and view all the answers

    What is a symptom of underlying medical conditions affecting the airways?

    <p>Feeling sick or being sick</p> Signup and view all the answers

    Which of the following is a preventive measure mentioned in the text for respiratory infections?

    <p>Avoiding close contact with sick individuals</p> Signup and view all the answers

    What is a pharmacological management approach mentioned in the text for respiratory issues?

    <p>Antibiotics and antivirals</p> Signup and view all the answers

    Which symptom is not commonly associated with haemoptysis as per the text?

    <p>High temperature</p> Signup and view all the answers

    Which action is advised for the prevention of respiratory infections?

    <p>Regular fluid intake</p> Signup and view all the answers

    What is a non-pharmacological medical management approach for respiratory issues mentioned in the text?

    <p>Humidification</p> Signup and view all the answers

    What is the recommended initial step for managing large-volume hemoptysis?

    <p>Bronchoscopy to identify the source of bleeding</p> Signup and view all the answers

    Which of the following is NOT mentioned as an endobronchial management option for visible central airway lesions?

    <p>Bronchial artery embolization</p> Signup and view all the answers

    For which type of lesions is external beam radiotherapy recommended, according to the text?

    <p>Distal or parenchymal lesions</p> Signup and view all the answers

    What is the medical term used to describe a nosebleed?

    <p>Epistaxis</p> Signup and view all the answers

    Which of the following is NOT listed as a potential cause of epistaxis in palliative care patients?

    <p>Bacterial infection</p> Signup and view all the answers

    Which of the following is mentioned as a cause of epistaxis unrelated to palliative care?

    <p>Self-induced trauma from repeated nasal picking</p> Signup and view all the answers

    What is the recommended course of action if bronchoscopy and endobronchial management options are unsuccessful in managing hemoptysis?

    <p>Bronchial artery embolization</p> Signup and view all the answers

    Which of the following is mentioned as a potential cause of epistaxis in the text?

    <p>Low humidity or dry weather</p> Signup and view all the answers

    Which types of cancer are most commonly associated with cough in people with cancer?

    <p>Both cancer of the airways, lungs, pleura, mediastinum, and tumors metastasizing to the thorax</p> Signup and view all the answers

    Which of the following medications is recommended for managing cough in palliative care patients?

    <p>Both glycopyrronium bromide and hyoscine hydrobromide</p> Signup and view all the answers

    What is the most common cause of acute cough in people with cancer?

    <p>Respiratory tract infection</p> Signup and view all the answers

    Which of the following statements about cough in palliative care patients is true?

    <p>Cough can be caused by conditions that can be relatively easily addressed, such as GERD or medication side effects.</p> Signup and view all the answers

    Which of the following statements about the severity of cough in palliative care patients is true?

    <p>The most severe cough is convulsive, unending, and permits no other object of attention.</p> Signup and view all the answers

    Which of the following is NOT mentioned as a potential cause of cough in palliative care patients?

    <p>Lung cancer</p> Signup and view all the answers

    Which of the following statements about smoking cessation in palliative care patients is true?

    <p>Smoking cessation is often not realistic and/or helpful in patients with a limited prognosis of weeks or a short number of months.</p> Signup and view all the answers

    Which of the following statements about cough in palliative care patients is NOT true?

    <p>The most severe cough is mild and intermittent.</p> Signup and view all the answers

    What is the first step patients at increased risk of epistaxis are advised to take in first aid management?

    <p>Lean slightly forward</p> Signup and view all the answers

    Why should patients avoid lying down or tilting their heads back during a nosebleed?

    <p>It prevents blood from flowing to the brain</p> Signup and view all the answers

    Which medication is NOT recommended for patients as part of medical treatment for epistaxis?

    <p>Nonsteroidal anti-inflammatory drugs (NSAIDs)</p> Signup and view all the answers

    What is the purpose of using a saline nasal spray or drops as part of health education to prevent epistaxis?

    <p>To keep the nasal passages moist</p> Signup and view all the answers

    In first aid management of epistaxis, where should firm pressure be applied when pinching the nose?

    <p>Just below the bony ridge of the nose</p> Signup and view all the answers

    Which action should patients avoid after their nosebleed has stopped?

    <p>Blowing their nose</p> Signup and view all the answers

    What is one reason given in the text for avoiding aspirin and NSAIDs in patients with epistaxis?

    <p>They may interfere with blood clotting</p> Signup and view all the answers

    Why is adequate pain control in patients with posterior nasal packing a concern?

    <p>It may lead to hypoventilation</p> Signup and view all the answers

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