PCA Pump vs.

Fentanyl
Drug name: Drug name:
Fentanyl

Patient Controlled Fentanyl

Analgesia Pump
Indication:
Indication: Given for chronic ‘’persistent’’ pain,
NOT used for acute pain

Used for pain control after P – Patches

surgery or long term recovery P – Persistent Pain

Can take up to 17 hours for full effect

Key Points KEY Words

Not “Acute” Pain:
Client ONLY NOT Post-op pain NCLEX TIP
NOT family NOT Intermittent pain NCLEX TIP

NOT nurse Clarify order with HCP!

NOT Dr. Appropriate for allergy to codeine
CODEINE

Kaplan Question
NCLEX TIPS Fentanyl Patch
“constipation
= use stool softeners”
Nursing Care
Twice the dose of Meds given ATI Question
If patient still reports pain Fentanyl Patch
1 st action = pain ASSESSMENT “Tolerance
= need increase doses
for pain relief”

HESI Question
A I R AIR Fentanyl Patch
A - Assessment before 1st! “REMOVE old patch
I – Intervention BEFORE new one”
R – Re-assessment Clean area
Dry skin

Notes