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NEBULIZED MEDICATION FOR TERMINAL DYSPNEA

Nebulized agent (use preservative-free ampoules) Dose (qs to 5mL with preservative-free normal saline)
Furosemide 20-40mg q24h prn
Morphine1 5-10mg (up to 40mg) q4h prn
Hydromorphone 1-2mg (up to 8mg) q4h prn

1Use epidural morphine which is the preservative-free formulation