I showed up to a facility mid afternoon and just caught the charge nurse as she was heading out early for the day. She asked me to take a look at this specific resident as she felt that her condition was declining and they were wondering if she still needed some of...
Last night of Narcweek! Hope you all enjoyed it! Methadone is a drug you may see once in a while for treatment of pain. There are definitely some prescribers that are more comfortable using this drug than others. It is an opioid similar to fentanyl, morphine,...
Another opioid (or is it an opioid?) is Ultram (tramadol). This medication is frequently used for various types of pain and may or may not be a controlled substance based upon your location. It definitely has opioid activity so common side effects are the usual...
We’re are going to continue on the theme of opioids because this is Narcweek, it’s what we do. I do have more info/stories on Fentanyl, but I think they’re going to have to wait for another time…I wouldn’t want to wear you guys out on one drug when there are so many...
One other quick point that I can follow up on is that fentanyl takes a long time to ramp up, which also means that it takes a little while to get to a steady state of concentration. What does this mean clinically? I’ve seen a case where the dose was increased too...
So much info on Fentanyl and I will do one more night after tonight on Fentanyl and I will transition to some other opioid info. A very frequent question I get asked is can you put things over the patch or cover it if it consistently falls off (i.e. tape etc.). Per...
