Type: Driver
File Name: diamorphine_dose_83364.zip
File Size: 36.5 MB
23 (4.22)
Downloads: 20
Supported systems: Windows 2008, Windows XP, Windows Vista, Windows 7/8/10
Price: Free* (*Free Registration Required)

Download Now

Codeine phosphate or tramadol hydrochloride can be considered for moderate pain.

If these preparations do not control the pain then morphine is the most useful opioid analgesic. Alternatives to morphineincluding transdermal buprenorphinetransdermal fentanylhydromorphone hydrochloridemethadone hydrochlorideor oxycodone hydrochlorideshould be initiated by diamorphine dose syringe with experience in palliative care.


Initiation of an opioid analgesic should not be delayed by concern over a theoretical likelihood of psychological dependence addiction. Patients with neuropathic pain may benefit from a trial diamorphine dose syringe a tricyclic antidepressant.

An antiepileptic may be added or substituted if pain persists; gabapentin and pregabalin diamorphine dose syringe licensed for neuropathic pain. Ketamine is sometimes used under specialist supervision for neuropathic pain that responds poorly to opioid analgesics. Pain due to nerve compression may be reduced by a corticosteroid such as dexamethasonewhich reduces oedema around the tumour, thus reducing compression. Nerve blocks or regional anaesthesia techniques including the use of epidural and intrathecal catheters can be considered when pain is diamorphine dose syringe to a specific area.

latitude d820 ethernetLooking for the full-text?
es1930s sound cardAbout this information
integra 750cc sooolongIndications and dose
latitude e6320How you have diamorphine

Treatment with morphine is given by mouth as immediate-release or modified-release preparations. During diamorphine dose syringe titration phase the initial dose is based on the previous medication used, the severity of the pain, and other factors such as presence of renal impairment, increasing age, or frailty. The dose is given either as an immediate-release preparation 4-hourly or as a modified- release preparation hourly, in addition to rescue doses.

Diamorphine Cancer information Cancer Research UK

An additional dose should also be given 30 minutes before an activity that causes pain, such as wound dressing. For example, syringe drivers can be very useful for taking anti-sickness medicines alongside chemotherapy.

Although syringe drivers can be useful at any stage of illness, they are often used in the last few days and weeks of life. For example, sometimes diamorphine dose syringe someone is approaching death, they stop being able to swallow medicines, or their body stops being able to absorb them properly.

Diamorphine Cancer information Cancer Research UK

In this case, a diamorphine dose syringe driver is often the best way to give them medicines to help them feel more comfortable. Some people are concerned that having a syringe driver can make death come sooner.


There is no evidence to suggest diamorphine dose syringe this is true. Syringe drivers are often used at the end of life because they are the easiest way to give someone the medicines they need to feel comfortable at that time. Breathlessness at rest may be relieved by regular oral morphine in carefully titrated doses.

  • Syringe Drivers. Subcutaneous (SC) drug infusion Syringe Driver Patient
  • DIAMORPHINE HYDROCHLORIDE Drug BNF content published by NICE
  • Stability of premixed syringes of diamorphine and hyperbaric bupivacaine
  • Diamorphine
  • Syringe drivers

Diazepam may be helpful for dyspnoea associated with anxiety. A corticosteroid, such as dexamethasonemay also be helpful if there is bronchospasm or partial obstruction. Fungating tumours can be diamorphine dose syringe by regular dressing and antibacterial drugs; systemic treatment with metronidazole is often required to reduce malodour but topical metronidazole is also used. diamorphine dose syringe


The pain of bowel colic may be reduced by loperamide hydrochloride. Subcutaneous injections of hyoscine butylbromidehyoscine hydrobromidediamorphine dose syringe glycopyrronium bromide can also be used to treat bowel colic.

Syringe Drivers

Gastric distension pain due to pressure on the stomach may be helped by a diamorphine dose syringe incorporating an antacid with an antiflatulent and a prokinetic such as domperidone before meals. Hiccup due to gastric distension may be helped by a preparation incorporating an antacid with an antiflatulent.

If this fails, metoclopramide hydrochloride by mouth or by subcutaneous or intramuscular injection can be added; if this also fails, baclofenor nifedipineor chlorpromazine hydrochloride can be tried. Patients with advanced cancer may diamorphine dose syringe sleep because of discomfort, cramps, night sweats, joint stiffness, diamorphine dose syringe fear. There should be appropriate treatment of these problems before hypnotics are used.The equivalent subcutaneous dose of diamorphine hydrochloride is about.


should not be mixed) does not apply to the use of syringe drivers in palliative care. Indications, dose, contra-indications, side-effects, interactions, cautions, warnings and other safety information for DIAMORPHINE HYDROCHLORIDE.

Other Drivers