A 90-year-old man is in the last days of life with noisy respiratory secretions. He is unconscious and not distressed, but family are worried by the

Question

A 90-year-old man is in the last days of life with noisy respiratory secretions. He is unconscious and not distressed, but family are worried by the sound. There is no evidence of pulmonary oedema. Current medicines include anticipatory medicines available. What is the most appropriate management?

Accepted Answer

Explain the cause and consider antisecretory medicine if distressing

Answer

Prescribe high-dose diuretic for every patient

Answer

Start intravenous fluids to clear secretions

Answer

Tell the family to leave the room

Answer

Deep suctioning as routine care

Terminal secretions — DGM MCQ

A 90-year-old man is in the last days of life with noisy respiratory secretions. He is unconscious and not distressed, but family are worried by the sound. There is no evidence of pulmonary oedema. Current medicines include anticipatory medicines available. What is the most appropriate management?