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Morphine for end of life
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n8simmons
Posted 9/19/2015 12:06 (#4797407 - in reply to #4795936)
Subject: RE: Morphine for end of life


West Central Ohio
Healthcare Questions for help with Farming questions... soo.... put on the other hat and here we go...

Palliative Care Drugs 101

Grimacing, Wincing, "non-verbal" are some of the only ways to tell if there is pain, quite frankly, care providers would rather "be safe than sorry" and give pain meds during end of life and know the patient doesn't have any pain, rather than to let someone suffer through the end and guess that they don't have pain

Morphine - Potent, inexpensive, doesn't need to be metabolized to work, GREAT for pain relief, respiratory depression is a side effect, given IV/IM or sublingual, liquid or oral tablets, anticholinergic (SLUDGE, slows down Salivation, Lacrimation, Urination, Defecation, and Gastric) end of life patients can "drown" in their saliva, not a good way to bow out

Ativan and Valium - Anxiolytic, inexpensive, helps to "relax", great for seizures that can occur with electrolyte imbalances or for when seizures onset from tumors

Atropine Eye drops given orally or Glycopyrrolate - helps with secretions, see above

Email is good if you have any other questions
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