Yes. the patient is septic - identified a reversible cause

Yes. we will give IV antibiotics to treat the possiblity that the patient is septic

No. 

we will not intubate in respect for the patient’s desire for best supportive care. 

Microboluses of Fentanyl; Salbutamol nebulization

Yes, as part of supportive care

Yes, definitive treatment for the pneumonia

No, for Palliative/Hospice care

Ideally if w/ indication depending to ROX index but still to consider patient's preference and ask input from SHPM for terminal care

Supportive care, alleviate dyspnea/pain, discuss status of paient to family

Yes. For the tx of beginning sepsis

Yes. For the tx of CAP

If with vacancy, yes. ICU admission optimizes care even for terminally ill px

If the patient/family consented for intubation, then yes. If not, we will offer other NIV support such as HFNC. This could still provide support for the patient.

Salb+Ipra neb, morphine for pain, paracetamol for fever, NAC for cough, suctioning PRN,

Refer to Chaplain if with religious catholic beliefs.

Pain crisis, secondary to bone metastasis from primary lung CA

Opioid-tolerant

Morphine 10mg PO x2 --> Morphone 20mg PO --> Morphine 7mg IV every 10 minutes to target NRS 5/10

Reassess pain via NRS every 10 minutes

WOF: decrease in sensorium, RR <12

Acute Pain Crisis on top of Chronic pain from Cancer

tolerant

shift to Morphine IV, 2mg, prn q5min.

subjective scoring (VAS/NRS) is still the best indicator

Acute pain crisis from mass effects from Metastatic Lung CA

Opioid tolerant

Morphine 6mg IV q4 PRN, with VS monitoring

Setting goals of pain management to at least 50%; subjective from px

Acute pain crisis from metastatic lung CA

Opioid tolerant

Give morphine 2mg IV PRN for pain

Check for NRS, signs of grimace, VS Q1

A> T/c pleural effusion from malignancy

NSC Lung CA St IV with bone metastasis in acute pain crisis

She is opioid tolerant.

Morphine 2mg IV q3mins

Subjective complaints