Palliative Care Synonyms “Just in Case”
Using EMIS synonyms
The main aim of the synonyms is to promote safe and cost-effective prescribing with guidance
available to prescribers at the point of prescribing. The entries are based on the Greater Glasgow
and Clyde Formulary and clinical guidelines. The synonyms are accessed by entering the
synonym name (which always starts with a dot/full stop, for example .JUST) in the Name field of
the Add Drugs window and pressing enter
The list of drugs linked to this synonym is displayed in the Options section of the screen, click the
Synonyms tab to view the synonym names and associated drugs. If only part of the synonym
name is visible either double-click on the right hand edge of the column name or click on it and
drag to the desired width.
There are 10 “just in case” synonyms. Selecting the synonym will pre-populate the dosage and
quantity fields with the dosages shown on the next page.
Palliative Care Synonyms “Just in Case” – cont.
Synonym
Agent
Dose
Quantity
.JUST IN CASE -(ANXIETY /
MIDAZOLAM INJECTION 10
2MG HOURLY
10 AMP
AGITATION / DYSPNOEA) SUB
MG/2 ML AMPOULE
SUBCUTANEOUSLY AS
CUT
REQUIRED. MAX 6 DOSES IN 24
HOURS
.JUST IN CASE -(ANXIETY /
LORAZEPAM TABLETS 1 MG
HALF A TABLET UNDER THE
AGITATION / DYSPNOEA)
TONGUE 4-6 HOURLY AS
TABLET
REQUIRED (SCORED AND
28
SUITABLE FOR SUBLINGUAL
USE)
.JUST IN CASE -(DILUENT FOR
WATER FOR INJECTION 5
TO BE USED AS DIRECTED
20 AMP
SC BOLUS)
ML/AMP
.JUST IN CASE -( DYSPNOEA –
DIAMORPHINE
2MG AS REQUIRED
5 AMP
OPIOID NAIVE)
HYDROCHLORIDE INJECTION
SUBCUTANEOUSLY. MAX 6
5MG/AMP
DOSES IN 24 HOURS
.JUST IN CASE-(NAUSEA AND
LEVOMEPROMAZINE
2.5MG 12 HOURLY
VOMITING 1 - FIRST LINE)
SOLUTION FOR INJECTION 25
SUBCUTANEOUSLY AS
MG/ML, 1 ML AMPOULE
REQUIRED
.JUST IN CASE-(NAUSEA AND
HALOPERIDOL INJECTION 5
500 MICROGRAMS 12 HOURLY
VOMITING 2 - SECOND LINE)
MG/ML, 1 ML AMPOULE
SUBCUTANEOUSLY AS
10 AMP
5 AMP
REQUIRED
.JUST IN CASE-(PAIN 1 FIRST
DIAMORPHINE
2MG AS REQUIRED
LINE-OPIOID NAIVE-NORMAL
HYDROCHLORIDE INJECTION
SUBCUTANEOUSLY. MAX 6
RENAL FUNCTION
5MG/AMP
DOSES IN 24 HOURS
.JUST IN CASE-(PAIN 2
MORPHINE SULPHATE
2MG AS REQUIRED
SECOND LINE - OPIOID NAIVE
INJECTION 10 MG/ML, 1 ML
SUBCUTANEOUSLY. MAX 6
NORMAL RENAL FUNCTION)
AMPOULE
DOSES IN 24 HOURS
5 AMP
5 AMP
.JUST IN CASE -(PAIN-OPIOID
ALFENTANIL SOLUTION FOR
100MICROGRAMS HOURLY
NAÏVE- SEVERE RENAL
INJECTION 500
SUBCUTANEOUSLY AS
FAILURE)
MICROGRAMS/ML, 2 ML
REQUIRED. MAXIMUM 6 DOSES
AMPOULE
IN 24 HOURS
.JUST IN CASE -(RESPIRATORY
HYOSCINE BUTYLBROMIDE
20MG HOURLY
SECRETIONS)
INJECTION 20 MG/ML, 1 ML
SUBCUTANEOUSLY AS
AMPOULE
REQUIRED. MAXIMUM 6 DOSES
10 AMP
10 AMP
IN 24 HOURS
For information on downloading and installing the GGC synonyms onto EMIS please visit
http://www.staffnet.ggc.scot.nhs.uk/Acute/Division%20Wide%20Services/Pharmacy%20and%20Prescribing%20Sup
port%20Unit/Prescribing/Pages/GGCEMISDrugSynonyms.aspx