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Morphine dose after step II :
1
– Maintenance dose
fi. short acting morphine (4h) 6 x 10 mg
slow release morphine (12h) 2 x 30 mg
2
- Bolus : NRS score <5 : bolus = 1/12 daily dose
NRS-score >5 : bolus = 1/6 daily dose
3
– Laxativs
ALWAYS
+ if needed anti-emetics
19