Fentanyl Patch Administration | Medical Algorithm

Are you evaluating a patient with pain?

Yes

Does or Is the patient?

• tolerant to opiods at a comparable potency to the patch?

Yes

• have hypersensitivity to fentanyl or to patch components?

Yes

• have acute or severe bronchial asthma?

Yes

• have respiratory depression?

Yes

• have paralytic ileus?

Yes

Is the pain?

• acute?

Yes

• of short duration?

Yes

• related to surgery or a procedure?

Yes

• mild?

Yes

• intermittent, requiring treatment on an 'as needed basis' (prn)?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of contraindications to the use of a fentanyl transdermal patch

Should a fentanyl patch be considered for pain control in this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Features Suggestive of Drug Seeking Behavior in Patient
- Clinical Criteria of Chabal et al for Prescription Opiate Abuse in a Patient with Chronic Pain
Severity, Prognosis, Stage
- Clinical Criteria of Chabal et al for Prescription Opiate Abuse in a Patient with Chronic Pain

Therapy

Options
- Management of Pain Associated with Diabetic Peripheral Neuropathy
- World Health Organization (WHO) Analgesic Ladder
Selection
- Method for Administration of Parenteral Morphine for Severe Cancer Pain
- Risk Factors for Opioid Misuse in Patient with Chronic Pain
Dosage Calculations
- Management of Pain Associated with Diabetic Peripheral Neuropathy
Administration
Prevention
- Risk Factors for Fentanyl Toxicity in Patient Treated with Transdermal Patch
- Management of Pain Associated with Diabetic Peripheral Neuropathy

Monitoring

Response To Therapy
- Management of Pain Associated with Diabetic Peripheral Neuropathy
- Indications for Using Parenteral Morphine for Control of Severe Pain
Adverse Effects
- Opioid Induced Hyperalgesia (OIH)
Compliance/adherence
- Prescription Opioid Misuse Index (POMI)

Patient Concerns

Quality Of Life
- Management of Pain Associated with Diabetic Peripheral Neuropathy

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Contraindications for Use of Fentanyl Transdermal Patch in Patient with Pain

Purpose: To determine if a fentanyl transdermal patch is inappropriate for a patient.

Evaluation

Results

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10