R06.0 + (Z51.5)
DESCRIPTION
Excessive respiratory tract secretions (also referred to as death rattle), is used to describe a rattling noise produced by accumulated secretions in the airway which oscillate in time with inspiration and expiration. Generally, respiratory secretions occur in patients who are extremely weak and close to death.
GENERAL MEASURES
Change position of the patient.
Explain to caregivers and relatives that the patient is not distressed by the secretion. Patients are not conscious that they are unable to clear secretions.
Minimal oropharyngeal suctioning is required.
MEDICINE TREATMENT
- Hyoscine butylbromide, SC/IM, 20 mg.
- Increase dose to effect to maximum of 120 mg.