Continuous nasogastric morphine infusion.
Morphine sulfate is the narcotic analgesic most commonly used for pain treatment in terminally ill patients. This case report demonstrates a new method of morphine administration. A 56-year-old terminally ill cancer patient with severe pain from metastatic adenocarcinoma of the lung required continuous nasogastric feeding and around-the-clock narcotic analgesics. The patient was safely and effectively converted from a continuous intravenous morphine infusion to continuous nasogastric morphine-enteral feedings. This method of administration may benefit patients receiving continuous enteral tube feedings who either require high-dose morphine therapy or are unable to use the oral administration route.
Veterans Administration Medical Center, Fargo, ND.
M C
MC
Ingebretson
F
F
Pucino
C L
CL
Beck
G L
GL
Strommen
A C
AC
McAskill
U P
UP
Rao
A N
AN
Almazan
D006801:Humans; D007262:Infusions, Intravenous; D007441:Intubation, Gastrointestinal; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage* / Q000627:therapeutic use; D010148:Intractable Pain / Q000188:drug therapy*
D009020:Morphine