Q:

An 84 year old man got surgical pain which is well controlled by oral morphine 60mg BD. However, now this pt is unable to swallow. What is the most appropriate next step?

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An 84 year old man got surgical pain which is well controlled by oral morphine 60mg BD. However, now this pt is unable to swallow. What is the most appropriate next step?


  1. Morphine 60mg state
  2. Morphine 60mg TDS
  3. Oxycodone 10mg OD
  4. Morphine 60mg IV
  5. Fentanyl patches

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The key is E. Fentanyl patches.

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