This is actually a question of my huband who is a paramedic. The local paremdics/emts want to know about a new protocol they have, and I don't blame them! They are trying to replace morphine on the ambulances with Fentanyl. Many fear that it doesn't have the MONA potential for MI...but someone says it does (Hubby was on the phone and couldn't elaborate..but asked me to post this for comment).
Now...my hospital does not use Fentanyl unless in patch form..and I will find out why (we use morphine IV or Dilaudid IV..then I try to get my ortho pts on po quickly when tolerated for longer effects and antispasmotics). So I don't deal with cardiac effects as much...but as I recall..fentanyl never was mentioned as cardiac???
Anyone have insight?