ABSTRACT

This chapter considers all the patient's symptoms and all the information available to doctors and assesses the symptoms, signs and information given using this to choose the appropriate remedies for the problem and offers extra information where available and appropriate. Two syringe drivers are in common use. They are the Graseby® MS16A and the Graseby® MS26. The syringe driver delivers by length, not volume. The MS26 can accommodate a syringe of 35 ml capacity and with a maximum travel distance of 60 mm. This is approximately 25 ml capacity. A simple chart can also be devised showing the drugs in the syringe, the time of set-up, and providing space in which to record remaining volume and the state of the skin at the infusion site. The following drugs can all be used in a syringe driver are Alfentanil, Clonazepam, Cyclizine, Dexamethasone, Diamorphine, Diclofenac, Dihydrocodeine, Fentanyl, Glycopyrronium, Haloperidol, Hydromorphone, Ketamine, Octreotide, Ondansetron and Phenobarbital.