A 68-year-old woman with heart failure and COPD presents with increasing breathlessness and anxiety. She is on maximal inhalers and diuretics. You con...

Question

A 68-year-old woman with heart failure and COPD presents with increasing breathlessness and anxiety. She is on maximal inhalers and diuretics. You consider low-dose oral Morphine for refractory dyspnoea in a palliative context. According to NICE palliative dyspnoea guidance, what is an appropriate starting dose?

Accepted Answer

Morphine 2.5–5 mg every 4–6 hours

Answer

Morphine 30 mg every 4 hours

Answer

Morphine 10 mg every 4–6 hours

Answer

Morphine 60 mg modified-release twice daily

Answer

No Morphine should ever be used for dyspnoea

uk-plab-1 MCQ (SBA): Refractory dyspnoea – opioid use