You visit a terminally ill lung cancer patient at home on the request of his carer/daughter. She reports occasional agitation, hallucinations and increased airway secretions. Pain management is reported to be alright. The patient si not able to drink and swallow his tablets. On examination you reveal severe anxiety. All of the following medications can be given to control the symptoms, EXCEPT ONE; a. Hyoscine b. Diazepam/Midazolam c. Haloperidold. Indapamid
Question
You visit a terminally ill lung cancer patient at home on the request of his carer/daughter. She reports occasional agitation, hallucinations and increased airway secretions. Pain management is reported to be alright. The patient si not able to drink and swallow his tablets. On examination you reveal severe anxiety. All of the following medications can be given to control the symptoms, EXCEPT ONE; a. Hyoscine b. Diazepam/Midazolam c. Haloperidold. Indapamid
Solution
The medication that should not be given to control the symptoms in this case is Indapamide. Indapamide is a diuretic used to treat high blood pressure and edema (swelling) caused by heart disease. It works by helping the kidneys get rid of excess water and salt. It is not used for symptom control in a terminally ill lung cancer patient with the symptoms described.
On the other hand, Hyoscine, Diazepam/Midazolam, and Haloperidol can be used.
Hyoscine is used to reduce secretions in the airways, Diazepam/Midazolam can help manage anxiety and agitation, and Haloperidol is used to control hallucinations.
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