Published
Our narc of choice in the ICU is fentanyl. We rarely have morphine drips. When we do use morphine, it's almost always for end of life care - it's our protocol but some docs order fentanyl instead. Same with boluses fentanyl > morphine.
Also, we usually use dilaudid for epidural basal and fentanyl for the PCEA. And always fentanyl for PCA.
Does that make sense?!
Roland
784 Posts
Our Potter and Perry nursing text and my Davis drug guide talk about how Fentanyl is used for chronic, but not acute pain. However, my wife who works on an acute care floor at Clarion routinely gives the stuff for post-op, acute care type clients. Are my books and instructors out of date or are the Doc's using the drug "off label". Davis specifically indicates on page 417 (9th edition) that the drug is contraindicated in acute or postoperative situations.