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Palliative Care and the ICU

In Reply To: Use of Fentanyl and Versed drips in withdrawal
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Post Re:Use of Fentanyl and Versed drips in withdrawal
Author: ehargus
Date: Jun 18, 2009 1:52 pm

One must always keep clear that narcotics (ie. fentanyl or any narcotic for that matter) have two indications----pain and dyspnea. Narcotic usage is not meant to depress the respiratory system. In the conscious patient one can usually sort out the indication for narcotics. In the unconscious patient who is not paralyzed one can usually suspect respiratory difficulty by the pattern of the breathing (ie struggling to take breaths would be presumed dyspnea) and therefore can be so used. Making sure the patient is not paralyzed is absolutely necessary.

Versed or other anxiolytics can and should also be used. Tolerance to versed can be a problem for those on it for significant lengths of time though.

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