Intranasal Fentanyl

Nurses Medications

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Does anyone have any experience with this? Thought I'd share a personal experience. My Dad just passed away from Melanoma, he was at home on Hospice and the roxanol/ativan combo just wasn't cutting it anymore. The ambulance was called to take him to the hospital for a palliative care admission. He had 4+ edema EVERYWHERE, so IV sites were very limited. The paramedic opted to give him Fentanyl intranasally and I am still amazed at how great it worked!

so sorry for your loss.

Another med i have always admired for speed of relief, is sublingual morphine, Roxanol. Only a drop or two under the tongue, and the person seemed comfortable. Of course, i've never had the med myself, but, I sure did love giving that med, felt like a magic fairy when i did. No needles, no swallowing, but Very fast relief, even for people who were suffering terribly.

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so sorry for your loss.

Another med i have always admired for speed of relief, is sublingual morphine, Roxanol. Only a drop or two under the tongue, and the person seemed comfortable. Of course, i've never had the med myself, but, I sure did love giving that med, felt like a magic fairy when i did. No needles, no swallowing, but Very fast relief, even for people who were suffering terribly.

sublingual is great IF the pt isn't dehydrated...

which in many cases, they are.

just something to consider when perusing routes of administration.

leslie

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sublingual is great IF the pt isn't dehydrated...

which in many cases, they are.

just something to consider when perusing routes of administration.

leslie

Leslie, if i find the sublingual area dry, i'd always moisten it, or, if patent ws able, have a sip of water first, asking them to sort of whoosh it around their mouth a bit prior to swallowing the water.

do you think either of those interventions would help sublinqual absorption, or, have i been following wrong advice for eons?

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jean, i think it'd help somewhat but certainly it wouldn't reach its full potential of the med.

same concept with fentanyl patches - they will do little when over a bony prominence or sunken chest wall.

it needs the sq fat in order to maximize absorption.

i wish drs would consider all this stuff when prescribing. :) (i detest these emoticons....want the old ones back.)

leslie

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