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Procedures in palliative care 2: Problems with a subcutaneous infusion

Intermediate Level

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CASE STUDY

Mary is a 28 year old woman, married with two small children.

Six months ago, she was found to have an advanced cancer of the cervix and was treated with pelvic radiotherapy and started chemotherapy.

Her pain responded to morphine, but because she was troubled with nausea and vomiting, it was decided to give her drugs as a 24-hour subcutaneous infusion through a syringe driver.

The infusion has been running well for the past three days, but today her pain and nausea have returned.