Administering oxycodone to a patient receiving intravenous fentanyl is generally not recommended due to the risk of additive central nervous system depression, which can lead to respiratory distress or overdose. Both medications are opioids, and combining them can increase the risk of adverse effects. If pain management is inadequate, it’s essential to consult with a healthcare professional for alternative strategies rather than combining these opioids. Always prioritize patient safety and follow clinical guidelines.
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.
until you stop breathing.
No, you cannot drink IV Fentanyl. Fentanyl is a potent opioid medication that is typically administered intravenously or via transdermal patches for pain management. Drinking it would not be effective and could be extremely dangerous, as it is formulated for controlled medical use under professional supervision. Misusing fentanyl can lead to severe health risks, including overdose and death.
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.
Fentanyl comes in many forms - tablets, liquid (IV or injectable), even lollipops. The most common usage is via transdermal patch.
The IV bag is suspended above the patient to allow the fluid to be gravity fed .
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 it is your first patch ever, about 24 to 48 hours. -Jennapsyche.