MRCP2-4303

MRCP2-4303

A 63-year-old man with metastatic small cell lung cancer is admitted with shortness of breath, cough, and purulent sputum. His chest x-ray reveals a right lower lobe pneumonia with partial collapse of the right lung. The right hilum has a bulky primary tumor and extensive hilar lymphadenopathy. He receives IV antibiotics, fluids, and oxygen, and his symptoms improve over the next five days. He is comfortable on 2 liters of oxygen via nasal cannulae and his pain is controlled on 20mg long-acting morphine sulfate twice daily. The decision is made to discharge him to a hospice for end-of-life care. However, due to the proximity of his lung tumor to major vessels, he is at risk of a major terminal bleed. What medication should the hospice be advised to administer in the event of a major bleed?