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Are any of you currently using Fentanyl for ACS or Chest Pain in the field? A friend of mine who is a PA in the ED told me that they use FONA instead of MONA where he works.

Posted

We have the choice. If their pressure doesn't support the use of morphine we can consider fentanyl. However, if their pressure is somewhat "normo-tensive" (please note the quotes) or elevated, I like to go with, and the docs seem to prefer use of, morphine.

-be safe

Posted

As I understand it, Fentanyl is very lipid soluble & has a much faster onset than Morphine Sulfate does. It also causes less respiratory depression & histamine release than other narcotic pain medications.

Posted
As I understand it, Fentanyl is very lipid soluble & has a much faster onset than Morphine Sulfate does. It also causes less respiratory depression & histamine release than other narcotic pain medications.

It's also shorter acting, which is why I like to use it for traumas. I give it to them when they come in and it won't affect their VSs much. By the time it wears off I have had time to watch a few sets of vitals and then can move on to morphine or dilaudid.

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