Download e-book for kindle: British National Formulary (BNF) 68 by Pharmaceutical Press

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Extra info for British National Formulary (BNF) 68

Sample text

20 Prescribing in palliative care BNF 68 Prescribing in palliative care Prescribing in palliative care Palliative care is the active total care of patients whose disease is not responsive to curative treatment. Control of pain, of other symptoms, and of psychological, social and spiritual problems, is paramount to provide the best quality of life for patients and their families. Careful assessment of symptoms and needs of the patient should be undertaken by a multidisciplinary team. Specialist palliative care is available in most areas as day hospice care, home-care teams (often known as Macmillan teams), in-patient hospice care, and hospital teams.

Gastro-intestinal pain The pain of bowel colic may be reduced by loperamide 2–4 mg 4 times daily. 6) may also be helpful, given sublingually at a dose of 300 micrograms 3 times daily as Kwells ® tablets. Subcutaneous injections of hyoscine butylbromide, hyoscine hydrobromide, and glycopyrronium can also be used to treat bowel colic (see above). For doses by continuous subcutaneous infusion, see p. 23. 1) and a prokinetic such as domperidone 10 mg 3 times daily before meals. Hiccup Hiccup due to gastric distension may be Vitamin K may be useful for the treatment and prevention of bleeding associated with prolonged clotting in liver disease.

Careful assessment of symptoms and needs of the patient should be undertaken by a multidisciplinary team. Specialist palliative care is available in most areas as day hospice care, home-care teams (often known as Macmillan teams), in-patient hospice care, and hospital teams. Many acute hospitals and teaching centres now have consultative, hospital-based teams. Hospice care of terminally ill patients has shown the importance of symptom control and psychosocial support of the patient and family. Families should be included in the care of the patient if they wish.

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British National Formulary (BNF) 68 by Pharmaceutical Press


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