Fentanyl placement? - Page 2Register Today!
- Jan 7, '04 by Dave ARNPTELL ME somebody didn't do this.................
- Jan 7, '04 by adrienurseDave, you'd be surprised.
Adrienne, who shakes her head on a daily basis.
- Jan 7, '04 by aimeeeOriginally posted by MD Terminator
TELL ME somebody didn't do this.................
Originally posted by MD Terminator
I've seen them given to little old ladies who's bones were merely covered by skin that was literally dripping off of them... and people were wondering why they were crying in pain.
Duragesic forms a packet of the drug in the fat layer and absorbs through that. No fat... no go.
- Jan 8, '04 by adrienurseI guess the fentanyl half-dosing thing has happened often enough for somebody to do a study on why it shouldn't be done.
- Jan 8, '04 by Monica RN,BSNWe find that duragesic patches will stick longer and better if you place a piece of tegaderm over it to help reinforce the secureness to the skin, and sometimes a swipe of skin prep along the outer edge will also help to keep it in place better, (Not under the patch though ,of course) The most recent pain management seminar I attended is exact with what jansgirl has stated, but we were told not to place them over the boney prominances as the medication needs the fatty layer to absorb.( a problem with ineffective management of pian in a very skinny boney person)
Thanks for letting me share!
- Jan 9, '04 by Dave ARNPAnybody ever thought of using Dermabond?
Just something that crossed my mind today, and thought I would share.
- Jan 13, '04 by leslie :-Dif my pt. is bony, frail, etc., i never use the chest wall but do prefer the tricep area or upper back covered by an opsite. for the pd nurses that don't use the opsite, one of the biggest interferences is when the cnas sprinkle talcum powder on them, or lotion them up-both of which will affect the sticking power. i've had great success with duragesic in my elderly, cancer/cachetic pts., again, as long as it's covering an adequate area of sc fat.
- Jan 13, '04 by mittelsI have to agree with your nurse that gets bent out of shape. One of the reasons it is best absorbed is because on the chest (best placed) is because of the type of fatty tissue their and the ability for it to be absorbed equally and timely.
- Jan 20, '04 by Dave ARNPJust a note, on women...
I don't suggest placing these patches in a place where that the drug would absorb through breast tissue.
Just a little something that I advise. No clinical data, no studies. I just don't like the idea of any drug passing through there when we don't need it to. We certainly don't place HRT/ERT patches there.