Key notes on symptom control issues in Palliative Care


Management of Spinal Cord Compression



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Nausea and Vomiting

There are a number of basic causes of nausea and vomiting and if these can be identified then this will help with the choice of anti-emetic. It is not uncommon for the nausea and vomiting to be multi-factorial in which case a combination of anti-emetics may be helpful.




  • Nausea and vomiting can sometimes be a difficult symptom to control. It is therefore important to seek out specialist advice early if initial measures fail.

  • Remember that it may be necessary to use the subcutaneous route initially to ensure adequate absorption of the drug and thus control the symptom. Once the nausea and/or vomiting has settled, the drugs can be converted to the oral route.

  • Assess the patient’s bowel function and treat any constipation appropriately.



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