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American Journal of Hospice and Palliative Medicine®
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Nebulized hydromorphone for dyspnea in hospice care of advanced cancer

Nabeel Sarhill, MD

The Harry R. Horvitz Center for Palliative Medicine (A World Health Organization Demonstration Project), The Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Declan Walsh, MSc, FACP

The Harry R. Horvitz Center for Palliative Medicine, The Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Elias Khawam, MD

The Harry R. Horvitz Center for Palliative Medicine, The Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Pamela Tropiano, RN, BSN, MPA, CRNH

The Harry R. Horvitz Center for Palliative Medicine, The Cleveland Clinic Taussig Cancer Center; Hospice of The Cleveland Clinic, Cleveland, Ohio

Mary Kay Stahley, CRNH

Hospice of The Cleveland Clinic, Cleveland, Ohio

This case report describes the use of nebulized hydromorphone for management of dyspnea in advanced cancer in home hospice care. The patient was intolerant of morphine; nebulized hydromorphone was used as an alternative to nebulized morphine for dyspnea and found to be both safe and effective.

Key Words: cancer • dyspnea • hospice • nebulized hydromorphone

American Journal of Hospice and Palliative Medicine®, Vol. 17, No. 6, 389-391 (2000)
DOI: 10.1177/104990910001700609
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[Abstract] [Full Text] [PDF]


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