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Children's Palliative Care in Africa$
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Justin Amery

Print publication date: 2009

Print ISBN-13: 9780199567966

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199567966.001.0001

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Respiratory symptoms

Respiratory symptoms

Chapter:
(p.125) Chapter 6 Respiratory symptoms
Source:
Children's Palliative Care in Africa
Author(s):

Justin Amery

Michelle Meiring

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199567966.003.0006

When dealing with respiratory symptoms, this chapter suggests that one must not panic. Breathing symptoms are frightening for everyone. Mostly, one has more time than he thinks, and symptoms tend to respond well to treatment. One should hope for the best and prepare for the worst: There are two life-threatening situations in this area: acute airway obstruction and massive haemoptysis. Both need forward planning to ensure that, if they happen, the team can be calm, efficient and effective. They should have rapid access to drugs to enable rapid and complete sedation. Non-pharmacological methods are very effective. Meanwhile, the most distressing respiratory symptoms usually respond to low dose opioids and/or benzodiazepines.

Keywords:   airway obstruction, breathing problems, haemoptysis, sedation, opioids, benzodiazepines, palliative care

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