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Pallative Drugs

Terms

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Magnesium citrate
After MOM or Bisacodyl - if no bm after 12 hrs
Tap water enema
After manually disimpacted
Albuterol
1-2 inhalations q 4-6hrs prn or 2.5 mg in 2.5 ml NS nebulized a2h prn for bronchospasm
Morphine
10 mg PO q 2-4 hrs, monitor RR or 3 mg SC/IV for dyspnea
Fentanyl Nebulizer
25 mcg in 2.5 ml NS q2-3 hr prn, for bronchospasm
Fentanyl Patch
Alternative to opiods
Milk of Magnesia
If no bowel movement for 48 hrs, 30-60 po QD
Fentanyl Nebulizer
25 mcg in 2.5 ml of NS q2-3 hrs prm for dyspnea
Ipatropium
1-2 inhalations q4-6hr, prn or 2.5 ml nebulized q4h prn, for bronchospasm
Pilocarpine 4%
Secretions - history of radiation to head/neck
Fentanyl Nebulizer
25 mcg q 2-3 hr prn with 2.5 ml of NS for end stage CHF with resp distress
Furosemide
20-40 mg PO/IV for one dose, for mild CHF with respiratory distress
Scopolamin
Increased secretions - Patch q 72 h, 0.4mg IV/SC now q 4 hrs
Gycerin suppository
If impacted after enema
Bisacodyl
If no bowel movement for 48 hrs, 10 mg PO/PR qd
Fleets enema
If impacted or if no bm in 60 hrs
Lorazepam
0.5 mg a 4 hrs prn, monitor RR for dyspnea
Docusate
100 mg bid if taking no opiods - bowel treatment
Guefensin
Thick secretions - 200-400 mg PO

Deck Info

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