NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Fentanyl Duragesic Opioid analgesics PCA IV
anesthetic
adjuncts
Peak Onset Duration Normal dosage range
3-5 min 1-2 min 0.5-1hr 0.5-1mcg/kg/dose, may repeat after 30-60 min

Why is your patient getting this medication
Pain Control
Mechanism of action and indications
(Why med ordered)
Binds to opiate receptors in the CNS, altering the
response to and perception of pain. Decrease in severity
of chronic pain
Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Increased CNS and respiratory depression with
sedative/hypnotics.
For IV meds, compatibility with IV drips and/or solutions
Administer undiluted
May be diluted in D5W or 0.9% NaCl
RATE:
Slowly over 1-3 min. Doses >5mcg/kg should be given
over 5-10 min.
Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Hypersensitivity to fentnyl. Known intolerance. Acute
pain. Alcohol intolerance. USE CAUTIOUSLY in patients
> 60 yrs old, cachectic or debilitated patients; undiagnosed
abdominal pain, hypothyroidism.
Common side effects
CNS: confusion, sedation, weakness, dizziness,
laryngospasm, respiratory depression. CV: bradycardia.
RESP: apnea, bronchoconstricion, laryngospasm,
respiratory depression. GI: anorexia, constipation, dry
mouth, nausea, vomiting. DERM: sweating, erythema.
LOCAL: application site reactions. MS: skeletal and
thoracic muscle rigidity. MISC: physical dependence,
psychological dependence.
Lab value alterations caused by medicine
May increase plasma amylase and lipase levels.
Be sure to teach the patient the following about this
medication
Instruct patient how and when to ask for pain medication.
Instruct patient on correct application and disposal of
patches. May be worn while bathing showering or
swimming. May cause drowsiness or dizziness. Call for
assist with ambulating. Chang positions slowly to minimize
dizziness. Avoid use of alcohol. Good oral hygiene.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess type location and intensity of pain med? Evaluate level of pain 24 hr
before application. Assess vital signs before Respiratory rate <10/min, bradycardia after application and
application. periodically during treatmet.