A 91-year-old woman with a CFS of 7 and end-stage heart failure is in a care home. She is breathless at rest (NYHA class IV) despite maximum medical t...

Question

A 91-year-old woman with a CFS of 7 and end-stage heart failure is in a care home. She is breathless at rest (NYHA class IV) despite maximum medical therapy. She has expressed a wish for comfort care only. She has a syringe driver running with Morphine for breathlessness. She develops terminal agitation with restlessness and groaning in her final hours. What is the MOST appropriate medication to add to the syringe driver?

Accepted Answer

Midazolam 10-20 mg/24h

Answer

Haloperidol 2.5-5 mg/24h

Answer

Metoclopramide 30 mg/24h

Answer

Dexamethasone 8 mg/24h

Answer

Hyoscine butylbromide 60 mg/24h

uk-dgm MCQ (SBA): Terminal Agitation