Page 42 - TERMINAL DISCHARGE GUIDELINE FIRST EDITION 2023

Chapter 7
Terminal Discharge Pathway

7.5 Medication Information Sheet for Patient & Caregiver

Medication Description

• Used for: Pain or breathlessness
Morphine/
Fentanyl • Subcutaneous onset: 15 minutes
• Frequency: Every 1 hour if symptom does not improve

• Used for: Restlessness, agitation or seizures
Midazolam • Subcutaneous onset: 5 to 10 minutes

• Frequency: Every 1 hour if symptom does not improve

• Used for: Nausea, vomiting, restlessness or
agitation

Haloperidol • Subcutaneous onset: 10 to 15 minutes
• Frequency: Every 4 hours if symptom does not

improve

• Used for: Nausea, vomiting, restlessness or
agitation

Sublingual • Tablet onset: Hours
Olanzapine • Frequency: Every 2 hours if symptom does not

improve,
• Maximum 20mg/day

• Used for: Seizures

• Per Rectal onset: 2 – 10 minutes
Diazepam
• Frequency: Every 12 hours if symptom does not

improve

• Used for: Respiratory secretions or “noisy

breathing”
• Subcutaneous onset: 10 minutes
Hyoscine
• Frequency: Every 4 hours if symptom does not

improve
• Maximum: 120mg/day

*Please circle as appropriate

HOSPITAL KUALA LUMPUR 42
TERMINAL DISCHARGE GUIDELINE 2023