Fentanyl
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NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Fentanyl Duragesic Peak 3-5 min
Onset 1-2 min
Classification Dose Route Time/frequency Opioid analgesics PCA IV anesthetic adjuncts Duration Normal dosage range 0.5-1hr 0.5-1mcg/kg/dose, may repeat after 30-60 min
Why is your patient getting this medication Pain Control
Mechanism of action and indications (Why med ordered) Binds to opiate receptors in the CNS, altering the response to and perception of pain. Decrease in severity of chronic pain
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increased CNS and respiratory depression with sedative/hypnotics.
For IV meds, compatibility with IV drips and/or solutions Administer undiluted May be diluted in D5W or 0.9% NaCl RATE: Slowly over 1-3 min. Doses >5mcg/kg should be given over 5-10 min. Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity to fentnyl. Known intolerance. Acute pain. Alcohol intolerance. USE CAUTIOUSLY in patients > 60 yrs old, cachectic or debilitated patients; undiagnosed abdominal pain, hypothyroidism. Common side effects CNS: confusion, sedation, weakness, dizziness, laryngospasm, respiratory depression. CV: bradycardia. RESP: apnea, bronchoconstricion, laryngospasm, respiratory depression. GI: anorexia, constipation, dry mouth, nausea, vomiting. DERM: sweating, erythema. LOCAL: application site reactions. MS: skeletal and thoracic muscle rigidity. MISC: physical dependence, psychological dependence. Lab value alterations caused by medicine May increase plasma amylase and lipase levels. Be sure to teach the patient the following about this medication Instruct patient how and when to ask for pain medication. Instruct patient on correct application and disposal of patches. May be worn while bathing showering or swimming. May cause drowsiness or dizziness. Call for assist with ambulating. Chang positions slowly to minimize dizziness. Avoid use of alcohol. Good oral hygiene.
Nursing Process- Assessment (Pre-administration assessment) Assess type location and intensity of pain before application. Assess vital signs before application.
Assessment Why would you hold or not give this med? Respiratory rate <10/min, bradycardia
Evaluation Check after giving Evaluate level of pain 24 hr after application and periodically during treatmet.
Onset 1-2 min
Classification Dose Route Time/frequency Opioid analgesics PCA IV anesthetic adjuncts Duration Normal dosage range 0.5-1hr 0.5-1mcg/kg/dose, may repeat after 30-60 min
Why is your patient getting this medication Pain Control
Mechanism of action and indications (Why med ordered) Binds to opiate receptors in the CNS, altering the response to and perception of pain. Decrease in severity of chronic pain
Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increased CNS and respiratory depression with sedative/hypnotics.
For IV meds, compatibility with IV drips and/or solutions Administer undiluted May be diluted in D5W or 0.9% NaCl RATE: Slowly over 1-3 min. Doses >5mcg/kg should be given over 5-10 min. Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity to fentnyl. Known intolerance. Acute pain. Alcohol intolerance. USE CAUTIOUSLY in patients > 60 yrs old, cachectic or debilitated patients; undiagnosed abdominal pain, hypothyroidism. Common side effects CNS: confusion, sedation, weakness, dizziness, laryngospasm, respiratory depression. CV: bradycardia. RESP: apnea, bronchoconstricion, laryngospasm, respiratory depression. GI: anorexia, constipation, dry mouth, nausea, vomiting. DERM: sweating, erythema. LOCAL: application site reactions. MS: skeletal and thoracic muscle rigidity. MISC: physical dependence, psychological dependence. Lab value alterations caused by medicine May increase plasma amylase and lipase levels. Be sure to teach the patient the following about this medication Instruct patient how and when to ask for pain medication. Instruct patient on correct application and disposal of patches. May be worn while bathing showering or swimming. May cause drowsiness or dizziness. Call for assist with ambulating. Chang positions slowly to minimize dizziness. Avoid use of alcohol. Good oral hygiene.
Nursing Process- Assessment (Pre-administration assessment) Assess type location and intensity of pain before application. Assess vital signs before application.
Assessment Why would you hold or not give this med? Respiratory rate <10/min, bradycardia
Evaluation Check after giving Evaluate level of pain 24 hr after application and periodically during treatmet.
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