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Cough and respiratory secretions

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.

Publication metadata

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

Year: 2013

Pages: 47-56

Online publication date: 25/09/2012

Publisher: Springer

Place Published: London


DOI: 10.1007/978-1-4471-2230-2_4

Library holdings: Search Newcastle University Library for this item

ISBN: 9781447122296