Pancreatic Ca and Nausea

[SCgirl1962]

Help! I have a 63 year old male pt. with pancreatic CA who has undergone a jejunostomy in the past. He is chronically nauseated and is having trouble keeping even fluids down. Currently he's on Haldol 3 times daily, Ativan prn, Phenergan suppositories and tablets prn , Reglan, Baclofen and is still having continuous nausea and vomits two to three times daily. I feel that the nausea is from outlet flow obstruction and he is not a candidate for anymore surgery or radiation. Does anyone have any other ideas about how to help this poor guy or other meds to try? He had Zofran in the past and that didn't even help. I feel so helpless in caring for him - nothing seems to be working!

[leslie :-D]

Leslie,

You mention sc continuous infusion; what medication

do you use for the infusion?

Thanks

we use different ones, depending on etiology and hx of txs.

cyclizine, haldol, zofran, dexamethasone, hyoscine butyl/hydrobromides, octreotide, methotrimeprazine, metoclopramide.

maybe more.

this is off the top of my head.

leslie

[shrinky]

I have had success with Marinol when other drugs are not effective. We have also used ABHR gel every 6 hours with success. Good luck.:heartbeat

[AtlantaRN, RN]

i have the same problem with a patient in his late 40's with pancreatic cancer, i've tried abhr suppositories, levsin, phenergan, nexium 40mg bid, and nothing will touch him

[finn11707]

Have you tried decadron? It work for some when other meds don't