1. Compounding for Hospice Patients Pain & Symptom Management Alan Brown RPh – Dana Noblett RPh – Joel Jarman RPh 195 Main Street - Chatham, NJ 07928 P (973) 635-6200 / F (973) 635-6208
16. Case Study 2 Your critical care hospice patient with metastasis to spine and a history of drug abuse arrives from the hospital on MS pump 100mg/hr with 15mg/hr bolus. He/she is complaining of pain in the sacral area of the lower spine where the patient had an open wound. In 3 days, her MS infusion rate was increased 3 times. The patient is still complaining of pain in the sacral area. What would you do?
17. Your 76 old patient with pancreatic cancer has uncontrollable nausea/wretching/vomiting and is at the end of life. All family members gathered around her. All traditional PO anti-nausients have failed. What would you do? Case Study 3
18. Case Study 4 Your patient’s pain is being controlled with Hydromorphone 2mg Q4h, however she wakes up with pain every morning. What would you do?
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20. Questions/Notes 195 Main Street - Chatham, NJ 07928 P (973) 635-6200 / F (973) 635-6208 Thank you for your time
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