ACTIVE LEARNING TEMPLATE: Medication

STUDENT NAME______________________________________
Fentanyl
MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________

CATEGORY CLASS__Analgesic adjuncts/ opioid agonists

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PURPOSE OF MEDICATION

Expected Pharmacological Action Therapeutic Use

Binds to opiate receptors in the CNS, altering -Decrease in severity of chronic pain
the response to and perception of pain.

Complications Medication Administration

-Significant respiratory depression -Transdermal
-Paralytic ileus
-Severe hepatic or renal impairment
-Alcohol intolerance

Contraindications/Precautions
-Hypersensitivity to fentanyl or adhesives
-Patients who are not opioid tolerant
-Acute, mild, intermittent, or postoperative pain
-Severe hepatic or renal impairment Nursing Interventions
-Diabetes
-Caution:
-Ptients with severe pulmonary disease -Assess type, location, and intensity of pan
-CNA tumors before and 24hr after application and
periodically during therapy.
-Assess BP, pulse, and respirations before
and during administration.
-Assess bowel function routinely. Prevent
Interactions constipation with increased intake of fluids.
-Assess risk of opioid addiction, abuse or
-Avoid use in patients who have received MAO inhibitors within the misuse.
previous 14 days (may produce unpredictable, potentially fatal reactions.)
-Levels and effectivenss may be decreased by CYP34A inducers
Drugs that affect serotonergic neurotransmitter systems.
-Grapefruit juice is a moderate inhibitor of the CPY34A enzyme system.
Client Education
-Instruct patient in how and when to
ask for and take pain medication.
Evaluation of Medication Effectiveness -Instruct patient in correct method
-Decrease in severity of pain without a significant alteration for application and disposal of
transdermal system.
in level of consciousness, respiratory status or BP.
-Advice patient that fentanyl is a
drug with known abuse potential.

ACTIVE LEARNING TEMPLATES