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Breathlessness - Coggle Diagram
Breathlessness
Breathlessness with no reversible cause
Frightening for patient/family/staff
Reassurance and explanation
Non-pharmacological measures
Relaxation and tailored breathing exercises
Portable fan directed onto face
Good oral care important if mouth breathing
Consider referral to OT/physio
Humidified oxygen may help acute breathlessness, only in the presence of significant hypoxaemia
Except in COPD (need specialist input)
Medications
Opioids
MST bd
Oramorph
Benzodiazepines
lorazepam S/L
midazolam SC
Anxiolytic if anxiety driving SOB
citalopram
mirtazepine
Very common in advanced cancer/cardiorespiratory/neurological diseases.
Sudden onset [breathlessness]
https://docs.google.com/spreadsheets/d/1iMgdztsdoNvIvDxd4iqstRgm7_J5KG9CqCoabZHalds/edit#gid=0
Breathlessness over several [days]
Link Title
Gradual onset
breathlessness