Where you are
You are FY2 in hospice care homeWho the patient is
Mrs. Maria Smith, aged 80, is diagnosed with metastatic pancreatic cancerOther information
Patient is terminal palliative care has been prescribed. She has been referred from hospital to hospice
for the continuation of palliative care. She cannot eat or drink.Special Note
NoneWhat you must do
Write down the prescription of her palliative caste medications
Hospital Handover Note:
Patient name: Maria Smith
Date of Birth: 25/03/1942
NHS Number:123456
Hospital No: 1234
Allergy: Penicillin
Reaction: BreathlessnessDear Doctor,
Mrs. Maria Smith, aged 80, has been admitted in the Hospice Care Home with pancreatic cancer. She is terminally ill and cannot eat or drink.Plan: She will be discharged to hospice for palliative care with the following medications:
- Morphine 5mg SC 4 hourly (maximum 30mg) for pain
- Give diamorphine via syringe driver
- Cyclizine 50mg TDS SC (maximum 150mg) for nausea and vomiting.
- Hyoscine bromide 400 micrograms SC 4 hourly (maximum 2.4mg) for secretion.
- Paracetamol 1g PO every 4 to 6 hours (maximum 4 g/day) for pain.
- Atorvastatin 10mg PO OD
Shortcut:
- Syringe Drive: Diamorphine 20mg in 24 hours SC
Diluent: water for injection - Only PRN: Morphine, Cyclizine, Hyoscine
- Stop oral drugs: Paracetamol & Atorvastatin
Explanation:
Here you have to calculate diamorphine dose.
