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Using the following conversion (75mcg=.075mg), the dosage equivalent of Oxymorphone (Opana) (Oral/IV/IM)to Fentanyl (IV/IM) would be 7.50mg's.
Fentanyl is often mentioned as having 100 times the potency of IV morphine.
If you do not know what type to give, you should not be administering care to a patient.
until you stop breathing.
There is no average dose - all fentanyl patients must first be "opiate tolerant", meaning they are already tolerant to the effects of opiate medications. Most, like myself, only start using it when other meds (Oxycodone, Morphine, etc.) aren't effective and long-term pain control is needed. Initial dosages are based on the patient's current medication. All opiates have a morphine-equivalency rating, as does Fentanyl. The patient's current med doses are converted its morphine equivalent, adjusted for increased pain control if necessary, then matched with one of the standard Fentanyl doses available as an initial dose. Dosage adjustment goes from there. Most initial doses are low - this is because the Morphine-Fentanyl equivalency charts are purposefully kept on the low end for patient safety considerations.
yes, every time I am in the hospital they put new patches on me and give me 1mg dilaudid IV. and at home I wear the patch and take 2mg dilaudid by mouth.
Yes we give it in the hospital when the pain control pump is delayed for some reason (iv infiltration/patient a hard stick)
You probably won't notice it (the Schedule IV version of codeine, what most people get, is pretty weak compared to Fentanyl) but it and similar lower-end opiates are used for breakthrough meds with Fentanyl patches.
The IV bag is suspended above the patient to allow the fluid to be gravity fed .
Fentanyl comes in many forms - tablets, liquid (IV or injectable), even lollipops. The most common usage is via transdermal patch.
You want to give Demerol over about two minutes because it can cause a burning sensation if pushed too fast. Sometimes, if the NS is running at a slow enough rate, you can push the Demerol into a port further away from the patient, allowing the IV fluids to slowly carry the Demerol into your patient.
If you are adding a drug to IV fluid, you have to take all the aseptic precautions as you take for giving IV injection to the patient. Other wise patient will get bacteremia.