MEDI7212 Lecture Notes - Lecture 75: Docusate, Fluconazole, Miconazole
Document Summary
Fatigue: pain relief, gi - dry mouth, anorexia, nausea, vomiting, constipation, diarrhoea, respiratory - dyspnoea, cough, hiccups, neurological - seizures, psychological - anxiety, depression, delirium, dermatological - itching, sweating, haematological - bleeding, genitourinary, emergency management or terminal care. Symptom assessment tools (pcoc clinical manual: palliative care problem severity score (pcpss, distress thermometer. Acute severe pain aspiration > enteral feeding tube: opioid administration, morphine or fentanyl, sc, iv or intranasal route (non-regular opioid patient) versus parenteral (regular opioid patient) Locate and attempt relief of cause of pain. N&v: normal - metoclopramide (contraindication - prokinetic issues such as bowel obstruction) or haloperidol, chemotherapy or radiotherapy induced nausea - 5ht3 antagonist. Acute airway obstruction: obstruction may be cause by progressive cancer at trachea/ bronchus, acute treatment with dexamethasone (if unavailable, use hydrocortisone) Svc obstruction may be caused by extrinsic pressure (bronchial carcinoma or lymphoma), invasion of vessel wall or intraluminal thrombosis.
