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Both Duragesic and Fentora (fentanyl) are in micrograms as per MPR. sm

Posted By: Txczech on 2009-01-06
In Reply to: fentanyl 100 mcg or 100 mg - mt

Subject: Both Duragesic and Fentora (fentanyl) are in micrograms as per MPR. sm

http://formulary.prescribingreference.com/


 


http://formulary.prescribingreference.com/formulary/search?keywords=fentanyl


 


 




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There is a drug called Fentora sm
Subject: There is a drug called Fentora sm

which is sublingual fentanyl. Listen to that. But, the dose doesn't match. Fentora comes in 100, 200, 400, 600, 800 mcg tablets.
Duragesic patch?
Subject: Duragesic patch?


Duragesic 12 mcg q. hour, q. 3 d. #10
Is q. hour (or q.h.) correct. Wouldn't that be "every hour"?
I agree Duragesic patch
Subject: I agree Duragesic patch

sounds right.
micrograms or mcg....;-) nm
Subject: micrograms or mcg....;-) nm


how do you abbreviate micrograms?
Subject: how do you abbreviate micrograms?


is there an abreviation for micrograms?
Subject: is there an abreviation for micrograms?


s/l Liozironine 10 micrograms.
Subject: s/l Liozironine 10 micrograms.

n/t
how do you write 50 micrograms per kilograms per minute? thank you
Subject: how do you write 50 micrograms per kilograms per minute? thank you


Pt with COPD and emphysema on s/l Four a do inhaler 12 micrograms. nm
Subject: Pt with COPD and emphysema on s/l Four a do inhaler 12 micrograms. nm


So, doc spells "byette" 10 micrograms (Isn't this Byetta, and do I change it or not?) Grum
Subject: So, doc spells "byette" 10 micrograms (Isn't this Byetta, and do I change it or not?) Grumpy doc.


Duragesic patch dose is 12 mcg per hour, changed every 3 days: 12 mcg/hr every 3 days, #10
Subject: Duragesic patch dose is 12 mcg per hour, changed every 3 days: 12 mcg/hr every 3 days, #10

x
fentanyl...nm
Subject: fentanyl...nm

s
fentanyl
Subject: fentanyl

You are right, there seems to be a discrepancy in administration route, if that is exactly how it was dictated.  With a touchy person, I might try:


Please review possible discrepancy in route of fentanyl administration. 


Something like that.  Polite, yet not frankly pointing out a mistake, just saying a mistake might be a possibility, up for him to decide with a review.  Hope that helps.


 


Fentanyl nm
Subject: Fentanyl nm

nm
Fentanyl?
Subject: Fentanyl?

 Fentanyl is used in some surgeries like GI procedures and some outpatient surgeries.
fentanyl ?
Subject: fentanyl ?


fentanyl -nm
Subject: fentanyl -nm

x
fentanyl ?
Subject: fentanyl ?

xx
Fentanyl?
Subject: Fentanyl?


Fentanyl.............
Subject: Fentanyl.............

x
fentanyl and O2 ?
Subject: fentanyl and O2 ?


fentanyl?
Subject: fentanyl?


fentanyl comes in mcg not mg. nm
Subject: fentanyl comes in mcg not mg. nm

.
fentanyl 100 mcg or 100 mg
Subject: fentanyl 100 mcg or 100 mg

Thank you.
Probably Fentanyl nm.
Subject: Probably Fentanyl nm.

nm
fentanyl?
Subject: fentanyl?

nm
maybe it's fentanyl nm
Subject: maybe it's fentanyl nm


fentanyl patch
Subject: fentanyl patch

nm
Fentanyl patch - NM
Subject: Fentanyl patch - NM

NM
fentanyl patch 25 mcg q.72 h.
Subject: fentanyl patch 25 mcg q.72 h.


fentanyl patch
Subject: fentanyl patch


Ativan and fentanyl?
Subject: Ativan and fentanyl?

Not sure if Doc is dictating Ativan or something else....they are weaning the pt. off propofol and switch to *Ativan and fentanyl*. 


Isn't Ativan used for anxiety? and isn't fentanyl a really potent narcotic? would they be using them together?


Thanks in advance for your help!


No initial cap for fentanyl. nm
Subject: No initial cap for fentanyl. nm

nm
what is the dosage? fentanyl patch is 12.5, 25, 50 mcg and up
Subject: what is the dosage? fentanyl patch is 12.5, 25, 50 mcg and up


Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
Subject: pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine


He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.

nm