Mary Lynn McPherson

speaker

498 appearances 2 recordings 1 series first heard Oct 2018 last heard Dec 2021

Mary Lynn McPherson’s voice in public audio — every appearance, attributed to the second.

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With methadone, you don't want to be a rock star on day two.

Right.

You don't want to be a rock star until day four or five.

So I was like, Wow, now we have to watch her for accumulating sedation.

It was amazing.

That's

licking a bottle, you know what I mean?

That's a fabulous question.

I when I think about uh the most important drugs in hospice and palliative care, I always talk about my six pack.

Which are the intensols.

So an intensol is a high concentrate oral solution of a medication.

So we have morphine and oxycodone twenty to one.

We have methadone ten to one.

We have haloperidol, we have alprazolam, prednisone, dexamethazone.

These are the drugs we use over and over again.

And I see patients who are no longer cognitively intact or unable to they're unable to swallow.

It even if someone is completely unconscious, you can prop their upper body up 30 degrees and put up to one ml in the buccal cavity.

So what happens?

That's a great question.

It depends on how water or fat soluble the drug is.

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