Morphine dosing in palliative care

Common Questions and Answers about Morphine dosing in palliative care

avinza

Avatar f tn I have just started takeing care of my mother in law who is in stage 4 breast cancer and her dr gave her Morphine SO4 IR 15mg one tablet every 3 hours and Morphine SO4 ER 30ENDO one tablet every 12 hours and I am confused on how to give them to her, she says I can give them to her at the same time and I am worried about it causing an overdose and I am having a hard time reaching her dr for instruction on how to give it to her, do i give her one first and then wait a few hours to give the other
Avatar m tn (Focus) So, 2 nights after his request, they gave him 1mg of morphine and he has now been in, what seems to be a deep sleep (2 days later). He is now in palliative care in our local hospital and everything is very peaceful. Nurses, spiritual visitors, aids, including the environment. I am very happy so far that this is the path he chose. My question is, on 1mg of morphine every 4-5 hours, and nothing else, how long can we expect?
Avatar f tn She was not willing to go for chemo sessions. Hence we opted for palliative care. She has been vomiting whatever she is eating for the past day. The doctor has suggested not to give her morphine as it would increase the bout. The medicine given to her to control her vomit isn't working. What should we do? Also what pain medication should we give her now that morphine is not an option. Please help.
Avatar m tn Oral 24-hour Morphine (mg/day) Fentanyl Patch (mcg/hr) 225 to 314 mg/day 75 mcg/hr However, this is just a calculation based on the limited medical information I was presented. Since I do not have your liver and kidney status, it will be difficult for me to recommend the exact dosing regimen. Please consult your provider using this as a guideline. 2. If you are on Opana ER 30mg, why are you still taking Dilaudid?
194555 tn?1264286923 Depending on his lung cancer stage, someone should make a decision whether he treats issues or moves to palliative care. Palliative care means heading into hospice and starting a morphine drip or other care meant to comfort him. I personally feel that cardiac mets are very painful and a not a good way to die. If the patient is strong enough, there is a procedure called a pericardial window that will drain this fluid into his abdomen and relieve the pressure on the heart.
Avatar n tn Untreated ovarian cancer can cause many different problems ranging from blockage in the intestine and inability to eat, to kidney failure from dehydration and compression on the kidneys. I would suggest recruiting a palliative care specialist or an oncologist who does palliative care and can help her and the family manage problems as they arise.
Avatar n tn mom has a 8 cm tumor in her right breast, a smaller 4-5 lump in her left breast. Last November the right breast suddenly opened up-like a staph infection and bled 24 cc of blood and pus for six weeks. It finally stopped. Two days ago, the same place reopened and started to bleed and have pus again, but this time tissue also started coming out. She won't go to a doctor and I'm not sure how much I can handle.
Avatar f tn Not organ donor (official on paper) Organ donation refuse Treatment refuse Death assistance __________ DWD Air embolism injection Dehydration Dctr Ag _____ 21 D 41 - 61 40 D 60 - 80 Medications __________ Morphine Lactulose Advil Amoxicillin/Penicillin/Kanamycin whatever-cycline/whatever-cillin/whatever-mycin Lidocaine/Benzocaine Hospital Info __________ Hospice/Palliative Care ' Six months or less Heptrnal Syndrme ' No urne - 2 or 4 weeks Urne - few mon
Avatar f tn age, we have a need for basic knowledge in how to know when to consider Palliative and/or Hospice Care. Professionals like myself, a Hospice Nurse has the better knowledge as to the hands on assistance that enrollment in a Palliative Care Program or a Hospice Program can give. So I believe that you should add Palliative/Hospice/End of Life Issues to both your questions from the general public and the knowledge areas of your professionals.
Avatar f tn I hope that your father-in-law is still with us. Sorry I only saw your posting just now. If the doctors are willing to order PT, have them order it. My 86 year old mother had a major stroke, also had atrial fibrillation. She was given 4 days to live and was barely there. But she kept getting better with PT and lived another 2 years fully cognizant. So for anyone else, get whatever you can for your loved one.
Avatar m tn Hello and welcome to the forum. I am so very sorry to read of your situation. Have you spoken to your doctor about any clinical trials that you could participate in? Are they recommending palliative/support care for you? There is also hospice care which can be done in your home. Here's info on palliative care and hospice care https://www.nia.nih.gov/health/what-are-palliative-care-and-hospice-care. Staying healthy through proper nutrition and rest will also help you overall.
Avatar n tn Is there a specialist in your area who is expert in palliative care and symptom management? A specialist of this sort can help guide therapy to maximize quality of life with pain management and other symptom management.
438514 tn?1305734140 I remember reading that there's a difference between palliative care and hospice. Palliative care offers pain relief and life prolonging care (such as special nutritional needs) even if they can't offer a cure. It can be given at any time during a disease. Hospice care is usually only given if a person has less than 6 months left. I found this portion of a definition comparing the two: Palliative care is NOT the same as hospice care.
514349 tn?1272801633 They were sisters from different litters, Kessie being the elder. Once diagnosed, all we could offer was palliative care, helping them be as comfortable as possible until they let us know it was time to go.
Avatar f tn Ok first I was a kind of person who wanted so much out of life. I bought my first home in my early 30 .happy with my life. Then one day I got sick had ovarian cancer. Had surgery they put me on pain bump I think it was morphine. I stayed on it 4 a week. Then I was sent home with hydros. I took them right at first .Then my dog died I had 2 take one just to go 2 work face people without crying. .I had him 4 13 years. Everyday got easier. Then one day I ran out at work.
Avatar f tn Hello... I'm wondering why they are giving your Mum morphine if she's not in pain now? If your Mum doesn't need morphine, then she is better off without it. When she is awake and 'with it' does she enjoy her life... does she indictate that she wants to keep going? That should give you an idea what her thoughts are, but if she is 'blotted out' with morphine, she won't be able to tell you what she wants.
Avatar n tn That depends on your doctors comfort levels in prescribing , a patients ability to tolerate side effects, other medical conditions, effectiveness of using opiates, but typically- most physicians will not prescribe over 90 to 100 MME mg dosing per day-(Morphine equivalent dosing per day)- and typically only for patients who have been on opiates for some time. MME dosing combines both long acting and immediate release types of opiates to reach 90-100mg MME daily.
Avatar f tn You use it to convert your fentanyl dosage to an equivalent morphine dose, and then find the equivalent morphine dose to oxymorphone, Generally when converting between opiates, doctors will reduce the new medication strength by a certain percentage to account for incomplete cross tolerance, which is a boost in analgesia you get from rotating from one kind of opiate to another. You can find equal analgesic tables, and apps for calculating equivalent dosing online.
Avatar f tn Today in the New York Times, there's a wonderful article on palliative care." Months to Live: At the End, Offering Not a Cure but Comfort." I wish I had read it before my Mom passed.
Avatar f tn Although methadone and fentanyl are also heavily protein bound and as such require reduced dosing in patients with cirrhosis, the metabolism of these agents does not yield toxic metabolites, and hence they, along with hydromorphone, may be better tolerated37,38 (Table 2)." ".....Hydromorphone and fentanyl appear to be the least affected by renal dysfunction, and fentanyl has less hemodynamic disturbance (due to lack of histamine release associated with other opioids).
Avatar f tn The National Consensus Project for Quality Palliative Care states that palliative care is interdisciplinary, with a focus on care of providing optimal functioning, relief of suffering, and support of optimal quality of life for patients and their families regardless of the stage of disease or need for other therapies.
Avatar n tn my father was in hospice and yes his health was failing and he was dying on his nursing home bed but my questiion is , it is strange that right when the hospice nurse came to give my dad his morphine shot about two minutes later he died, now you ask, did i want to see him continue to die,?
Avatar f tn Some of the things that seem to predict an increase in mortality within 30 to 90 days include breathlessness (this needs to be qualified, since the problem is in the lung, there are probably some symptoms in the lung already, so this particular symptom may be more predictive in cancers not affecting the lung) and changes in mentation/cognitive activities.
Avatar f tn This Dr. is giving me Percasets and 30 mg. morphine, and im in so much pain. But this Dr. just wont listen, when I try nervously to explain he just shuts me down, he wont listen. Doctors think they are so much better than we are, and that intimidates me. how can I get through to this Dr.
506981 tn?1223185396 But we are not able to console ourself, when she is in pain. The doctors giving morphine still sometimes she underwent more painful state. If there is any medicine, please suggest to recover or prolong her life.