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Lookup NU author(s): Dr Stephen Bourke
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© 2013 Springer-Verlag London. All rights are reserved. Cough is both an important defense mechanism for the lungs and a -troublesome symptom. Treatment is first directed at the underlying mechanisms giving rise to cough. Codeine or strong opioids can help to relieve cough although their use is limited by adverse effects such as sedation and constipation. Patients with ineffective cough due to neuromuscular diseases, such as motor neurone disease, are vulnerable to retained airway secretions and pneumonia. Physiotherapy techniques and cough assist devices may enhance clearance of respiratory secretions under these circumstances. Anticholinergic drugs such as hyoscine or glycopyrronium are effective in controlling secretions and a death rattle at the end of life.
Author(s): Bourke SJ
Editor(s): Stephen J. Bourke and Edwin Timothy Peel
Publication type: Book Chapter
Publication status: Published
Book Title: Integrated Palliative Care of Respiratory Disease
Online publication date: 25/09/2012
Place Published: London
Library holdings: Search Newcastle University Library for this item