Question

A 65-year-old man with metastatic pancreatic cancer has intractable vomiting due to duodenal obstruction and is no longer able to tolerate oral medications. He is unlikely to benefit from further oncological treatment. What is the most appropriate route for ongoing opioid analgesia?

Accepted Answer

Switch to subcutaneous opioid via syringe driver

Answer

Continue oral Morphine despite vomiting

Answer

Stop opioids and use only non-opioid analgesics

Answer

Use rectal opioids only

Answer

Switch to transdermal NSAID patches

Practice question

A 65-year-old man with metastatic pancreatic cancer has intractable vomiting due to duodenal obstruction and is no longer able to tolerate oral medications. He is unlikely to benefit from further oncological treatment. What is the most appropriate route for ongoing opioid analgesia?