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robinicu

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  1. fentanyl dosing on a vent

    robinicu posted a topic in MICU, SICU
    As of late we have recieved a number of patients from our ED already intubated and they have the fentanyl gtt running at 9 or 10 mcg/kg and our guidelines say 3 is the max, so my question is with the overdosing of fentanyl what clinical effects will happen, everything ive read is that it can cause muscle ridgidity, or resp depression, their respirations are controled by the vent and its a short acting drug, so what other effects should i be aware of? anything i can do to help/ counter when overdosed for a period of time? ativan has been overdosed as well, but not as much, clinical effects on this too?

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