Rocío Domínguez Álvarez, Manuel Mejías Estéve, José María Galán González-Serna
{"title":"[Pharmacological Treatment in End-of-Life Sedation].","authors":"Rocío Domínguez Álvarez, Manuel Mejías Estéve, José María Galán González-Serna","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To control the physical symptoms in end-of-life pharmacological management involves major intervention. The aim of this article is to review the relevant issues in the management of clinical nursing situation and drugs commonly used in palliative sedation in agony.</p><p><strong>Methodology: </strong>Nursing management in Palliative Sedation recommended by scientific literature search in Scopus, CINAHL, Medline-PubMed and Google Scholar, with key words \"palliative sedation\", \"pharmacology\", \"nursing care\" and \"palliative care\" are selected.</p><p><strong>Results: </strong>The goal of palliative sedation (PS) is to reduce the level of consciousness as the only way to relieve intense suffering in terminally ill patients, such as refractory delirium or dyspnea, massive bleeding, convulsive status, crackles premortem or refractory psychological suffering. The route of choice in PS is subcutaneous injection (sc). First line drugs in sedation are midazolam and levomepromazina. Opioids should be kept at equi-analgesic doses, morphine chloride being the most widely used. The fundamental role of nursing in SP is monitoring the level of sedation based on the Ramsay scale (or similar) and recognition of the indicative signs of discomfort for administration rescue sedative or analgesic medication and/or screening treatable intercurrent process (distended bladder, constipation, obstruction way, final dose effect, etc.).</p>","PeriodicalId":42304,"journal":{"name":"Revista Rol de Enfermeria","volume":"40 2","pages":"31-38"},"PeriodicalIF":0.1000,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Rol de Enfermeria","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To control the physical symptoms in end-of-life pharmacological management involves major intervention. The aim of this article is to review the relevant issues in the management of clinical nursing situation and drugs commonly used in palliative sedation in agony.
Methodology: Nursing management in Palliative Sedation recommended by scientific literature search in Scopus, CINAHL, Medline-PubMed and Google Scholar, with key words "palliative sedation", "pharmacology", "nursing care" and "palliative care" are selected.
Results: The goal of palliative sedation (PS) is to reduce the level of consciousness as the only way to relieve intense suffering in terminally ill patients, such as refractory delirium or dyspnea, massive bleeding, convulsive status, crackles premortem or refractory psychological suffering. The route of choice in PS is subcutaneous injection (sc). First line drugs in sedation are midazolam and levomepromazina. Opioids should be kept at equi-analgesic doses, morphine chloride being the most widely used. The fundamental role of nursing in SP is monitoring the level of sedation based on the Ramsay scale (or similar) and recognition of the indicative signs of discomfort for administration rescue sedative or analgesic medication and/or screening treatable intercurrent process (distended bladder, constipation, obstruction way, final dose effect, etc.).
期刊介绍:
Revista ROL de Enfermería es una publicación abierta a todos aquellos trabajos que tengan como objetivo contribuir a la difusión del conocimiento científico en la atención de enfermería en sus diferentes ámbitos de actuación. Revista ROL de Enfermería considerará para su publicación los trabajos que dentro del marco general de las ciencias de la salud, tengan interés por los conocimientos e informaciones que aporten para contribuir al desarrollo y a la formación continuada de los profesionales de enfermería.