Fentany epidural; dose your units use them?
- 0Apr 22, '11 by emmanuilour unit uses them a lotLast edit by emmanuil on Apr 22, '11 : Reason: dose
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- 0May 10, '11 by imaginationsI'm a student in CT-ICU (second day today) and saw an epidural used in a fresh double lung today. I understand why they use them in these cases (did a bit of question asking and research) though didn't think to ask what was running through it (will find out tomorrow!)
What sorts of other situations are epidurals used in CVICU?
- 0May 11, '11 by DimalevinGenerally Epidurals are you used for thoracic surgeries esophagectomies, collis/nissens and things of that sort, they are occasionally used for lung tx but that's pretty rare, though I can only speak for my institution. It's normally fent and bupivacain either 5mcg or 3mcg in either 0.1 or 0.2, dosages vary an can be adjusted to pt condition
- 0May 11, '11 by Da_Milk_of_AmnesiaAnd to answer your question about the Narcan
First off the Answer is No, You shouldn't even think about touching that epidural unless the letters after your name say CRNA or MD
Secondly, IF they needed narcan, it's gonna be given IV, it readily crosses the Blood-Brain Barrier and will reverse someone rather quickly. However, remember Narcan causes instant and immediate withdrawl, so if you just worked really hard to get their pain under control, you're going to throw all ur hard work out the window.
- 0May 12, '11 by Esme12 Senior ModeratorQuote from emmanuilClient found with Resp Rate of 6 and has an fentanyl epidural would you then give narcon thru that epidural?
What do you orders say???
What's your policy and procedure?