A dying patient has noisy respiratory secretions. Glycopyrronium is started after repositioning and family explanation. According to NICE NG31, which

Question

A dying patient has noisy respiratory secretions. Glycopyrronium is started after repositioning and family explanation. According to NICE NG31, which review plan is most appropriate?

Accepted Answer

Review at least every 12 hours, preferably every 4 hours, assessing both benefit and adverse effects; stop if ineffective

Answer

Review every 12 hours for secretion volume alone and continue for 24 hours before assessing adverse effects

Answer

Review every 8 hours and add oropharyngeal suction whenever secretion noise persists despite two doses

Answer

Review after 24 hours for family-reported benefit and continue unchanged if sedation prevents further assessment

Answer

Review every 4 hours and escalate sequential antimuscarinics until secretions cease, unless urinary retention develops

Suctioning Terminal — SCE Medical Oncology MCQ

A dying patient has noisy respiratory secretions. Glycopyrronium is started after repositioning and family explanation. According to NICE NG31, which review plan is most appropriate?