Table of ContentsNebulized Morphine and the Management of Terminal Dyspnea Introduction Terminal dyspnea often does not respond to standard therapy Etiology of Dyspnea in Terminal Patients Direct Tumor Effects Indirect Tumor Effects Treatment Related Causes Problems unrelated to terminal diagnosis Diagnosis Diagnostic Tests Treat specific cause of dyspnea if possible (or indicated) Nonspecific dyspnea therapy O2 Therapy in hypoxemic patients Oxygen in non-hypoxemic patients Opioid therapy in terminal dyspnea Change in perception of dyspnea after SC MSO4 Benzodiazepines in Dyspnea Continuous infusion of MSO4 Local Anesthetic Aerosols Nebulized Morphine: Pharmacokinetics Efficacy Interesting Effects Farncombe Efficacy Study Noseda Study Administration of nebulized opioids Contraindications Case Report Case report (continued) |
Author: Steven J Baumrucker, MD
Email: author@xtn.net Home Page: http://xtn.net/~author/hospice.htm |