pharmnerd

hydromorphone liquid, since oxyfast is super duper pricey. dilaudid liquid unfortunately only comes as 1mg/ml commercially, so depends on the opioid tolerance levels and dose needs.

It actually depends on a couple of different factors. Sandostatin can be used for partial bowel obstruction or carcinoid syndrome, or fulminant, malignant diarrhea, but is not classified as carcinoid syndrome. with diarrhea, the laxative would not be given in any case. With partial bowel obstruction, I would not use a more laxative type agent, such as senna or bisacodyl. However, using more stool softening agents may be warranted to keep things going. Prokinetic agents' use in partial bowel obstruction (such as Reglan) is controversial, but as long as no complete obstruction, it may benefit the patient. If colic occurs, you would know the obstruction is significant and agents such as Senna, bisacodyl and metoclopramide should be avoided.