enthu
Forum Junior
Topics: 14
Posts: 42
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9. A 48 year-old man with advanced metastatic gastric cancer is admitted to the hospital because of severe abdominal pain High doses of oral analgesics, including numerous opioids, nonsteroidal anti-inflammatory drugs, and tricyclic agents, have not been successful in managing the pain Morphine administered by intravenous infusion successfully controls his pain, but the doses needed cause respiratory depression. He has repeatedly stated that he does not want cardiopulmonary resuscitation and that he wishes "to die with dignity without unnecessary pain." Which of the following is the most appropriate course of action?
A) Administer the lowest dose of morphine that relieves pain, even if it depresses respiration
B) Decrease the dose of morphine and administer an anxiolytic
C) Decrease the dose of morphine, explaining that he will have to tolerate some pain
D) Discontinue morphine and try different analgesics
E) Increase the dose of morphine progressively until the patient stops breathing
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| p53
Forum Guru
Topics: 51
Posts: 804
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A.
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"Everything should be made as simple as possible, but not simpler." - Albert Einstein
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| ManuNastai
Transilvanian..
Topics: 55
Posts: 838
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I'll go with A too
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"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
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| yasmeen
Forum Guru
Topics: 67
Posts: 936
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a is the one seems to b right
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