Oncology AKT

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Bre akthrough dos e of morphine 1/6th of daily morphine dos e

Conve rs ion factors : Oral code ine to morphine - divide by 10

Oral code ine to morphine Oral tramadol to morphine - divide by 10
Oral tramadol to morphine Oral morphine to oxycodone - divide by 1.5-2
Oral morphine to oxycodone Fe ntanyl patch 12 microgram to morphine 30mg
Fe ntanyl patch 12 microgram to morphine Bupre noprhine patch 10 microgram to morphine 24mg
Bupre noprhine patch 10 microgram to morphine Oral morphine to S/C diamorphine - divide by 3
Oral morphine to S/C diamorphine Oral oxycodone to S/C diamorphine - divide by 1.5
Oral oxycodone to S/C diamorphine Oral morphine to S/C morphine - divide by 2
Oral morphine to S/C morphine
Back pain - e arlie s t and mos t common s ymptom - wors e on lying
down and coughing.
More common with lung, pros tate and bre as t cance r.
Spinal cord compre s s ion
Lowe r limb we akne s s , s e ns ory change s , ne urological s igns .
Mx - de xame thas one and urge nt oncology as s e s s me nt.

Bre as t
Lung
Colore ctal
Common caus e s of cance r Pros tate
Bladde r
Non-Hodgkins Lymphoma
Me lanoma
Stomach
Oe s ophage al
Lung
Pancrectal
Colore as
Bre as t
Common caus e s of cance r de aths Pros tate
Pancre as
Oe ophagus
Stomach
Bladde r
Fe ature s - dys pnoe a,Non-Hodgkins
face , ne ck + armLymphoma
s we lling, he adache , vis ual
Ovarian
dis trubance , puls e le s s , JVP dis te ns ion.
Caus e s - lung cance r, lymphona, bre as t cane r, me tas tatic s e mino
SVC Obs truction ma, Kapos i's s arcoma, aortic ane urys m, goitre , me dias tinal fibros i
s , SVC thombos is .
Mx - de xame thas one , balloon ve noplas ty, s te nting, s mall ce ll - che
mo and radiothe rapy, non-s mall ce ll - radiothe rapy.

Rais e d Ca 15-3 Bre as t cance r