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ALL / Palliative Care

Palliative care prescribing: secretions

Palliative care prescribing: secretions

These are common in the last days of life, but are generally more troubling for family members than for the patient themselves.

Management

Conservative:
  • Avoiding fluid overload - particularly stopping IV or subcutaneous fluids
  • Educating the family that the patient is likely not troubled by secretions

Medical:
  • hyoscine hydrobromide or hyoscine butylbromide is generally used first-line
    • the BNF does not suggest one is first-line over the other
    • hyoscine butylbromide may be less sedative than hyoscine hydrobromide
  • glycopyrronium bromide may also be used
+PassMedicine Notes

These are common in the last days of life, but are generally more troubling for family members than for the patient themselves.

Management

Conservative:
  • Avoiding fluid overload - particularly stopping IV or subcutaneous fluids
  • Educating the family that the patient is likely not troubled by secretions
Medical:
  • hyoscine hydrobromide or hyoscine butylbromide is generally used first-line
    • the BNF does not suggest one is first-line over the other
    • hyoscine butylbromide may be less sedative than hyoscine hydrobromide
  • glycopyrronium bromide may also be used


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