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Continuous nasogastric morphine infusion.

M C Ingebretson1, F Pucino, C L Beck

  • 1Veterans Administration Medical Center, Fargo, ND.

Drug Intelligence & Clinical Pharmacy
|October 1, 1987
PubMed
Summary
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A new method safely converted a terminally ill patient from intravenous to nasogastric morphine for severe pain management. This approach benefits patients needing continuous enteral nutrition and high-dose opioid therapy.

Area of Science:

  • Palliative Care
  • Pharmacology
  • Oncology

Background:

  • Morphine sulfate is a primary analgesic for terminally ill patients.
  • Effective pain management is crucial in advanced cancer care.
  • Continuous administration routes are often necessary for consistent pain control.

Observation:

  • A 56-year-old patient with metastatic lung cancer experienced severe pain.
  • The patient required continuous nasogastric feeding and around-the-clock opioid analgesics.
  • Oral administration was not feasible for this patient.

Findings:

  • A novel method successfully converted the patient's pain management from intravenous morphine to continuous nasogastric morphine.
  • This administration route was integrated with existing nasogastric enteral feedings.

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  • The conversion was achieved safely and effectively, managing severe pain.

    • Implications:

    • Continuous nasogastric morphine administration offers a viable alternative for patients on enteral tube feedings.
    • This method may be beneficial for terminally ill patients requiring high-dose opioid therapy.
    • It provides an alternative for patients unable to use oral pain medication routes.