Fentany epidural; dose your units use them?

Specialties CCU

Published

our unit uses them a lot

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Specializes in Critical Care.

Usually Fent and Bupivacaine.

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Client found with Resp Rate of 6 and has an fentanyl epidural would you then give narcon thru that epidural?

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Client found with Resp Rate of 6 and has an fentanyl epidural would you then give narcon thru that epidural?

Sounds like homework to me.

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Specializes in Critical Care.

^ either that or someone has noooooo idea what they are talking about.

- Go ahead and give narcan thru the epidural, watch what happens !

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Specializes in Critical Care.

i've never had any epidural without some form of anesthetic (bupivicaine, etc).

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I'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?

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Specializes in Cardiothoracic.

Generally 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

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Specializes in Critical Care.

And 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.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Client 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?

http://www.3gsoftwarellc.com/hcmh/Epidural_Policy.htm

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