A 68-year-old man with advanced bowel cancer is agitated and distressed in his final hours of life despite good analgesia. He is pulling out lines and...

Question

A 68-year-old man with advanced bowel cancer is agitated and distressed in his final hours of life despite good analgesia. He is pulling out lines and unable to rest. What is the most appropriate pharmacological management?

Accepted Answer

Continuous subcutaneous Midazolam titrated for symptom control

Answer

High-dose Haloperidol alone

Answer

Start long-term SSRIs

Answer

No medication; this is part of dying

Answer

Increase opioids only

uk-plab-1 MCQ (SBA): Terminal agitation

A 68-year-old man with advanced bowel cancer is agitated and distressed in his final hours of life despite good analgesia. He is pulling out lines and unable to rest. What is the most appropriate pharmacological management?