Question 1

Question

A 68-year-old man with terminal lung cancer develops confusion, myoclonus, and hallucinations after being on high-dose morphine (240 mg/day oral) for 2 weeks. His renal function shows creatinine 2.8 mg/dL. What is the most appropriate management considering the pathophysiology?

Accepted Answer

Switch to fentanyl as it has no active metabolites and dose adjust for renal function

Answer

Continue morphine but add naloxone infusion

Answer

Add haloperidol for delirium and continue morphine

Answer

Stop all opioids and use only adjuvant analgesics

Palliative Care — MCQs

Palliative Care — MCQs

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