title: Nebulized Fentanyl for Dyspnea in a Hospice Patient with True Allergy to Morphine and Hydromorphone.
abstract: An 86-year-old white female was admitted to hospice care with lung cancer. Even with optimal medical management, she suffered from dyspnea and required opioid therapy. However, the patient had a true morphine and hydromorphone allergy. She was administered nebulized fentanyl for symptomatic relief of dyspnea with good effect and she did not experience any allergic response.
authors.forename: Robert G
authors.initials: RG
authors.lastname: Wahler
authors.forename: David B
authors.initials: DB
authors.lastname: Smith
authors.forename: Kimberly B
authors.initials: KB
authors.lastname: Mulcahy
mesh_terms: D000280:Administration, Inhalation; D000369:Aged, 80 and over; D004342:Drug Hypersensitivity; D004417:Dyspnea / Q000188:drug therapy*; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000627:therapeutic use*; D017051:Hospice Care; D006801:Humans; D004091:Hydromorphone / Q000009:adverse effects; D009020:Morphine / Q000009:adverse effects
chemical_list: D009020:Morphine; D004091:Hydromorphone; D005283:Fentanyl
keywords: allergy; dyspnea; fentanyl; hospice; hydromorphone; hypersensitivity; morphine; nebulized