18.2 () Phys of dying

Question 1

Name THREE symptoms found to be associated with poorer survival in patients with advanced cancer.

Answer 1

◆ dec performance status
◆ breathlessness
◆ dysphagia/anorexia/cachexia
◆ delirium

Question 2

Name FOUR neurological signs of impending death

Answer 2

◆ non-reactive pupils
◆ dec response to verbal stim
◆ dec response to visual stim

◆ Cheyne-Stokes breathing
◆ apnea periods

Question 3

Name FIVE neuro-MUSCULAR signs of impending death

Answer 3

◆ inability to close eyelids
◆ grunting of vocal cords
◆ resp w/ mandibular movements
◆ death rattle
◆ drooping of nasolabial fold
◆ hyperextension of neck

Question 4

Name THREE cardiovascular signs of impending death

Answer 4

◆ radial artery pulselessness
◆ < 100 cc urine o/p in 12 hrs
◆ upper GI bleed
◆ peripheral cyanosis