Fentanyl placement? - page 2
by ohbet | 79,442 Views | 20 Comments
Ive always understood that Fentanyl patches can be placed anywhere,chest back etc. But we have one nurse,who recently went to a Pain Seminar,that insists the patch must be place ot the torso,as it is absorbed best there. She... Read More
- 0Jan 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.
- 1Jan 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!
- 1Jan 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.
- 1Jan 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.