HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Restlessness, Unable To Sleep At Night. Diagnosed Lung Cancer With Mets To Hip, Liver And Lymph Nodes. On Morphine, Haldol, Ativan, Valium. Suggest

my father is in hospice diagnosis lung cancer with mets to right hip, liver and lymph nodes. he was sleeping 20 hours per day at the beginning of the week and now is up all night very restless has fallen twice since going to inpatient hospice and receiving morphine, Haldol, Ativan and valium. The restlessness started wed any suggestions?
Fri, 26 Jul 2013
Report Abuse
General & Family Physician,  's  Response
Hi,
The diagnosis given by you above suggest advanced disease and most probably beyond cure.He must also be heading towards multi organ dysfunction.This results in various metabolic dearrangements which in turn may result in such altered behaviour.The drugs suggest that he is on palliative care only.His treatment at present is aimed more at making more comfortable and giving him pain relief as long as he is alive.A thorough investigation for the reversible causes need to be made including saturation levels,sugars renal parameters,S.Electrolytes,Renal and liver tests.If a correctible cause can be found the she may find improvement from its correction.If everything comes out normal,then the dose of the above drugs may need to be increased or new ones added.
So, I would advise you to first rule out reversible causes and then just treat him supportively.
I find this answer helpful
Note: For further queries related to kidney problems Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Lung cancer


Loading Online Doctors....
Restlessness, Unable To Sleep At Night. Diagnosed Lung Cancer With Mets To Hip, Liver And Lymph Nodes. On Morphine, Haldol, Ativan, Valium. Suggest

Hi, The diagnosis given by you above suggest advanced disease and most probably beyond cure.He must also be heading towards multi organ dysfunction.This results in various metabolic dearrangements which in turn may result in such altered behaviour.The drugs suggest that he is on palliative care only.His treatment at present is aimed more at making more comfortable and giving him pain relief as long as he is alive.A thorough investigation for the reversible causes need to be made including saturation levels,sugars renal parameters,S.Electrolytes,Renal and liver tests.If a correctible cause can be found the she may find improvement from its correction.If everything comes out normal,then the dose of the above drugs may need to be increased or new ones added. So, I would advise you to first rule out reversible causes and then just treat him supportively.