Ask the consultant: Palliative care medicine

Published 17.8.2015

In our series for internal medicine trainees, Dr Chris Farnham, medical director of the Heart of Kent Hospice, answers users' questions on switching opioids, managing nausea and vomiting, prescribing in patients with renal and liver disease, starting fluids, and coping with sudden terminal bleeds.

Learning outcomes

After completing this module, you should:

  • Know how to convert dosages among different formulations of opioid
  • Understand the principles behind prescribing in specific clinical circumstances such as renal and liver disease
  • Know how to manage vomiting when first choice antiemetics have failed
  • Understand the implications of starting parenteral fluids in end of life care
  • Know how to approach the management of subacute malignant bowel obstruction
  • Manage a catastrophic bleed in a terminally ill patient.

This course is part of the Priority clinical conditions chapter.


Chris Farnham

Peer reviewed by Suzanne Bradnum-Williams

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BMJ Learning Hospital Collection


60 minuuttia


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