Fentanyl? Morphine? what would be a reason to choose Fentanyl?

Question

Hello, I am a nursing student working on a case study.

I am wondering what would be a reason to choose Fentanyl over Morphine as a postoperative analgesic.

Thank you

Answer 1

Personal preference. Histamine release associated with morphine.  Duration of action (MS > fent).  

I think patients tolerate fentanyl a little better, especially if they're prone to post-operative nausea and vomiting.

I'm actually a fan of hydromorphone.  Nice, long-acting analgesic.

Answer 2

Fentanyl causes respiratory depression n people have died from it.  It is a very strong medication n preferred for people that r dyin of cancer.  U wouldn't give it to a kid for a tonsilectomy.  

Morphine is not without its hazards n is usu titrated for pain. It will stop ur heart when given in large doses, anything above 4mg.

Answer 3

It's much shorter acting and has less related histamine release, for a couple I can think of off the top of my head.  Those aren't general reasons but in selected cases will be desired.

Answer 4

From experience Fentanyl does not make you as drowsy after a procedure. When I think of morhine, I think of inpatient, Fentanyl is tolerable enough to have after surgery and be coherent.

Answer 5

Harley, a Mu Vs Kappa Thing?