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Drug Encyclopedia Kaiser Permanente

Nausea and vomiting may occur with opioid therapy particularly in the initial stages but can be prevented by giving an antiemetic such as haloperidol or metoclopramide hydrochloride. An antiemetic is usually necessary morphine syringe for the first 4 or 5 days and therefore combined preparations containing an opioid with an morphine syringe are not recommended because they lead to unnecessary antiemetic therapy and associated side-effects when used long-term. Metoclopramide hydrochloride has a prokinetic action and is used by mouth for nausea and vomiting associated with gastritis, gastric stasis, and functional bowel obstruction.

Drugs with antimuscarinic effects antagonise prokinetic drugs and, if possible, should not be used concurrently. Haloperidol is used by mouth for most metabolic causes of vomiting e. morphine syringe


Cyclizine is given by mouth. It is used for nausea morphine syringe vomiting due to mechanical bowel obstruction, raised intracranial pressure, and motion sickness.

Levomepromazine is used as an antiemetic; it is given by mouth or by subcutaneous injection at bedtime. For the dose by subcutaneous infusion see below. Dexamethasone by mouth can be used as an adjunct. Antiemetic therapy should be reviewed every 24 hours; it may be necessary to substitute the morphine syringe or to add another one. For the administration of antiemetics by subcutaneous infusion using a continuous infusion device, see below. For the treatment of nausea and vomiting associated with cancer chemotherapy see Cytotoxic drugs.

Pruritus, even when associated with obstructive jaundice, often responds to simple measures such as application of emollients. In the case of obstructive jaundice, further measures morphine syringe administration of colestyramine.

Subcutaneous morphine infusion by syringe driver for terminally ill patients.

Headache due to raised intracranial pressure often responds to a high dose of a corticosteroid, such as dexamethasone and should be given before 6 p. Restlessness and morphine syringe may require treatment with an antipsychotic, e.


The dose and frequency is adjusted according to morphine syringe level of patient distress and the response. Your syringe driver will have an inbuilt computer and a small screen.


If you are active, you can carry it morphine syringe with you in a special bag. You or your carer can check the syringe driver on a regular basis too.

Look out for any changes in the area around the morphine syringe — like skin irritation, redness morphine syringe discomfort — and keep the syringe driver and the area around the needle clean and dry. Your nurse will show you how to do this.

When and how to use a syringe driver in palliative care

If the machine stops working, don't worry as the effect of the medicines will continue morphine syringe a while. Call your doctor or nurse as soon as possible.


The alarm will go morphine syringe if there is a problem with the syringe driver. Let your nurse know so they can come and check it. An alarm may just mean it needs a new battery. Always tell your doctor or nurse if you're using any complementary therapies. It covers how to manage common symptoms, and dignity and respect for the dying person and their relatives and carers.

Page last reviewed: 30 October Next review due: 30 October Managing pain and other symptoms - End of life care Secondary navigation What is end of life care?Find patient medical information for Morphine Injection on WebMD including its uses, side effects What conditions does Morphine SULFATE Syringe treat?. Morphine has a risk for abuse and addiction, which can lead morphine syringe overdose and death. Morphine may also cause severe, possibly morphine syringe, breathing problems.

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