QuestionSBA
QuestionChoice
This patient is experiencing colicky pain due to peristalsis against the malignant obstruction. Opiates are very likely to be helpful in this situation, however, they will not treat the cause of the pain. Hyoscine is an antispasmodic and antimuscarinic, which will suppress peristalsis and help to relieve this colicky pain, and would therefore be the most useful medication. It can be added to a syringe driver if regular PRN doses are helpful.
10034853
b
Morphine
QuestionChoice
This patient is experiencing colicky pain due to peristalsis against the malignant obstruction. Opiates are very likely to be helpful in this situation, however, they will not treat the cause of the pain. Further, codeine can only be taken orally and therefore is likely not suitable in this case. Hyoscine is an antispasmodic and antimuscarinic, which will suppress peristalsis and help to relieve this colicky pain, and would therefore be the most useful medication. It can be added to a syringe driver if regular PRN doses are helpful.
10034855
d
Codeine
QuestionChoice
This patient is experiencing colicky pain due to peristalsis against the malignant obstruction. Opiates are very likely to be helpful in this situation, however, they will not treat the cause of the pain. Hyoscine is an antispasmodic and antimuscarinic, which will suppress peristalsis and help to relieve this colicky pain, and would therefore be the most useful medication. It can be added to a syringe driver if regular PRN doses are helpful.
10034856
e
Oxycodone
QuestionChoice
This patient is experiencing colicky pain due to peristalsis against the malignant obstruction. Hyoscine is an antispasmodic and antimuscarinic, which will suppress peristalsis and help to relieve this colicky pain. It can be added to a syringe driver if regular PRN doses are helpful. Opiates may be helpful in addition, however, they will not treat the cause of the pain.
10034852
a
Hyoscine butylbromide
QuestionChoice
This patient is experiencing colicky pain due to peristalsis against the malignant obstruction. Opiates are very likely to be helpful in this situation, however, they will not treat the cause of the pain. Hyoscine is an antispasmodic and antimuscarinic, which will suppress peristalsis and help to relieve this colicky pain, and would therefore be the most useful medication. It can be added to a syringe driver if regular PRN doses are helpful.
10034854
c
Diamorphine
QuestionComment
explanation is wrong - can't give opiates in bowel obstruction
43592
QuestionComment
This is wrong 
43691
User
subscriber
test123
User
subscriber
Ale
Concept
Chapter
2693
6094
End of Life Care Medications
Topic
225
Oncology and Palliative Care
19374
Hyoscine butylbromide is effective for managing colicky abdominal pain by suppressing peristalsis in cases of malignant bowel obstruction.
An 89-year-old woman has been admitted to a hospice with malignant bowel obstruction as she is not suitable for operative management.

She is awake and alert, but reports being troubled by severe pain in her abdomen that comes and goes in waves. She says that when present, this pain reaches 9/10 in intensity.

Which of the following medications would be most helpful in managing the cause of her pain?
a