Post Test – Block III





 Case 4. KM is an 86 year old man with prostate cancer  metastatic to multiple bones. He has been hospitalized  for pain that could not be controlled at home.  You  realize that he is nearing death (“actively dying”), and  his family understands this. They strongly support his  previously expressed goal of remaining as comfortable  as possible.

Question 1 (of 1). The case text below is repeated for questions A through F, click on "Case History" on the next screen to see it again.

Your team has more than doubled KM’s dose of IV morphine (given by continuous infusion) since his admission two days ago.  He is now receiving 18 mg of morphine per hour.  Although K.M. is now only semi-conscious, he still seems to be in pain.

For each of the following, please answer True/False for whether it would be an appropriate next step.

A. Continue to adjust the rate of the morphine infusion upward by 1 mg/hour increments  




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