Question

A 72-year-old woman with advanced heart failure is approaching the last days of life. She is no longer able to swallow medication and is increasingly restless with audible respiratory secretions. What is the most appropriate anticipatory prescribing strategy?

Accepted Answer

Prescribe subcutaneous Morphine, Midazolam, Glycopyrronium and an antiemetic via syringe driver as needed

Answer

No anticipatory medicines are required

Answer

Continue all oral medications crushed and given via spoon

Answer

Start high-dose Haloperidol alone

Answer

Admit for intensive care ventilatory support

Practice question

A 72-year-old woman with advanced heart failure is approaching the last days of life. She is no longer able to swallow medication and is increasingly restless with audible respiratory secretions. What is the most appropriate anticipatory prescribing strategy?