How would you manage each of these cases? Enter doses of medications you would use.
- Mr. Scacic
78 year old man with prostate cancer and known bone mets; normally on Hydromorphone sustained-release, 12 mg BID; now in ED because of sudden increase in low back pain and intense paresthesias in both legs.
- Mrs. Mah
82 year old woman with early dementia living at home with known malignant ascites and steady increase in abdominal pain, in ED for pain management.
- Mrs. Plenasola
80 year old, advanced dementia, well-established advance directives of “full comfort measures only” in a nursing home. She has fallen out of bed. She has a fractured hip and pelvis and massive subdural hemorrhage and is unresponsive to any stimulus.