Melclin
Forum Deputy Chief
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Also one more question, do you think 100ug of fentanly is too much for someone in severe pain? I read that 100 of fentanyl is compared to 10mg but I think it is acceptable because it doesnt produce the respiratory depression like morphine. Any thoughts?
I think the 80-100 x stronger is generally quoted. My experience is that its more towards the 80 end of the spectrum.
Who said it even needed to be severe pain? I picked a bloke up the other day from a local hospital with an incarcerated hernia. He was still uncomfortable after 12.5 mg morphine given at the hospital. I gave him a total of 100mcg of fent, bringing him down from uncomfortable to comfortable. While I'm sure incarcerated hernias are not lovely, 60% BSA burns they are not. But its still pain. Far from becoming becoming comatose, resp depressed and the world generally falling apart, on arrival at hospital, he stepped down off the stretcher, I took him to the toilet, after which we walked to his waiting hospital bed, while chatting about lunch plans.
Fent especially is easy to titrate. With the addition of a little common sense, its a pretty easy game. Honestly, if my grandmother is trusted to titrate her PO opiate analgesia, surely a healthcare professional can manage a little IV fent or morph.