"Death Rattle"
Refers to the sound that is made when air passes through a dying patient's pooled secretions within the posterior oropharynx
Not harmful but distressing symptoms to the family.
Proper positioning
Aggressive suctioning should be avoided, as comfort of the patient is the goal.
Glycopyrrolate 0.1mg IV or 0.2mg PO
Prevents new secretions & reduces respiratory gurgling.
Does not cross blood-brain barrier & therefore does not contribute to terminal delirium
Refers to the sound that is made when air passes through a dying patient's pooled secretions within the posterior oropharynx
Not harmful but distressing symptoms to the family.
Prevents new secretions & reduces respiratory gurgling.
Does not cross blood-brain barrier & therefore does not contribute to terminal delirium
Palliative medicine
Poison control
Blister chemical agents
Hyperbaric medicine
Toxicology 
Tactical field care
Biologic immunomodulators
Christiana Care Health 