FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2006360079> ?p ?o ?g. }

• W2006360079 abstract "A57-YEAR-OLD MAN with metastatic adenocarcinoma of the lung was admitted for persistent bilateral community acquired pneumonia. He described dyspnea, malaise, weakness, nocturnal diaphoresis, dry cough, insomnia, and generalized back pain. A computed tomography (CT) scan of the chest demonstrated a large pericardial effusion without tamponade, bilateral consolidation, and evidence of bone metastases. Diagnostic pericardiocentesis was performed that confirmed metastatic adenocarcinoma. A bone scan showed lesions in the skull, ribs, spine and femora. Medications included codeine, 30 mg orally as needed, antibiotics for the pneumonia, and oxygen at 8 L/min. He was married and lived with his wife and one of their two sons. He had recently retired because of health problems. Palliative radiotherapy and chemotherapy were recommended. The palliative care consult team was asked to see the patient 2 weeks after admission. The patient was noted to be alert and oriented with a mini-mental state examination (MMSE) of 29/30. Because of the patient’s deteriorating condition, radiation or chemotherapy could not be started. The patient was tearful and had difficulty accepting that his illness was terminal. Optimistic hope appeared to be his major coping mechanism, despite awareness of his diagnosis and prognosis. He acknowledged that he had a strong support network. As a result of increasing pain in his right ribs and left scapula after the creation of a pericardial window, codeine was discontinued and oral morphine was started at 20 mg orally every 4 hour with 10 mg every 1 hour as needed. Increasing pain and dyspnea were treated with increased oxygen at 15–20 L/min and increased morphine at 30 mg orally every 4 hours with 20 mg every hour as needed. Morphine was changed to hydromorphone, then to methadone because of increasing side effects and inadequate pain control. Dexamethasone was added, which resulted in corticosteroid-induced diabetes mellitus that was controlled by insulin. Gradually, good pain control was achieved. The patient was alert, able to eat and was mobile in his wheelchair. He was transferred to a tertiary palliative care unit at another hospital 6 weeks after admission. The patient experienced a rapid deterioration including increasing confusion and dyspnea. Methadone was changed to oxycodone as it was suspected the confusion might be the result of methadone toxicity. The patient developed thrombocytopenia resulting in epistaxis and ecchymosis over his abdomen secondary to subcutaneous injections. Differential diagnosis included disseminated intravascular coagulation, sepsis syndrome, or bone marrow replacement by cancer. He continued to expect ongoing investigations and treatment and remained hopeful that he would improve sufficiently to undergo cancer treatment. Intravenous antibiotics were administered. Unit staff and family were distressed by the" @default.
• W2006360079 created "2016-06-24" @default.
• W2006360079 creator A5029462010 @default.
• W2006360079 creator A5080009073 @default.
• W2006360079 creator A5085750190 @default.
• W2006360079 creator A5089105678 @default.
• W2006360079 date "2003-04-01" @default.
• W2006360079 modified "2023-09-25" @default.
• W2006360079 title "Two Remarkable Dyspneic Men: When Should Terminal Sedation be Administered?" @default.
• W2006360079 cites W111312852 @default.
• W2006360079 cites W181261530 @default.
• W2006360079 cites W1983494108 @default.
• W2006360079 cites W2032325391 @default.
• W2006360079 cites W2065580535 @default.
• W2006360079 cites W2232497231 @default.
• W2006360079 cites W2401863149 @default.
• W2006360079 cites W2414673100 @default.
• W2006360079 cites W2415877811 @default.
• W2006360079 cites W2428460648 @default.
• W2006360079 doi "https://doi.org/10.1089/109662103764978560" @default.
• W2006360079 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12854948" @default.
• W2006360079 hasPublicationYear "2003" @default.
• W2006360079 type Work @default.
• W2006360079 sameAs 2006360079 @default.
• W2006360079 citedByCount "9" @default.
• W2006360079 countsByYear W20063600792012 @default.
• W2006360079 countsByYear W20063600792016 @default.
• W2006360079 crossrefType "journal-article" @default.
• W2006360079 hasAuthorship W2006360079A5029462010 @default.
• W2006360079 hasAuthorship W2006360079A5080009073 @default.
• W2006360079 hasAuthorship W2006360079A5085750190 @default.
• W2006360079 hasAuthorship W2006360079A5089105678 @default.
• W2006360079 hasConcept C105702510 @default.
• W2006360079 hasConcept C141071460 @default.
• W2006360079 hasConcept C159110408 @default.
• W2006360079 hasConcept C160306043 @default.
• W2006360079 hasConcept C2779777798 @default.
• W2006360079 hasConcept C2780247198 @default.
• W2006360079 hasConcept C2780820201 @default.
• W2006360079 hasConcept C2994186709 @default.
• W2006360079 hasConcept C42219234 @default.
• W2006360079 hasConcept C71924100 @default.
• W2006360079 hasConceptScore W2006360079C105702510 @default.
• W2006360079 hasConceptScore W2006360079C141071460 @default.
• W2006360079 hasConceptScore W2006360079C159110408 @default.
• W2006360079 hasConceptScore W2006360079C160306043 @default.
• W2006360079 hasConceptScore W2006360079C2779777798 @default.
• W2006360079 hasConceptScore W2006360079C2780247198 @default.
• W2006360079 hasConceptScore W2006360079C2780820201 @default.
• W2006360079 hasConceptScore W2006360079C2994186709 @default.
• W2006360079 hasConceptScore W2006360079C42219234 @default.
• W2006360079 hasConceptScore W2006360079C71924100 @default.
• W2006360079 hasLocation W20063600791 @default.
• W2006360079 hasLocation W20063600792 @default.
• W2006360079 hasOpenAccess W2006360079 @default.
• W2006360079 hasPrimaryLocation W20063600791 @default.
• W2006360079 hasRelatedWork W2000717433 @default.
• W2006360079 hasRelatedWork W2019086812 @default.
• W2006360079 hasRelatedWork W2040495353 @default.
• W2006360079 hasRelatedWork W2067315608 @default.
• W2006360079 hasRelatedWork W2377867091 @default.
• W2006360079 hasRelatedWork W2513495012 @default.
• W2006360079 hasRelatedWork W2561454815 @default.
• W2006360079 hasRelatedWork W2735210989 @default.
• W2006360079 hasRelatedWork W2766423887 @default.
• W2006360079 hasRelatedWork W2917524362 @default.
• W2006360079 isParatext "false" @default.
• W2006360079 isRetracted "false" @default.
• W2006360079 magId "2006360079" @default.
• W2006360079 workType "article" @default.