![]() ![]() The bradycardia was certainly from another cause. ![]() However 50 mcg/kg/hr is again, nothing for this patient. The propofol isn't "maxed out" either, maybe it is by your unit's policy. It must have been running at 0.3 ml/hr! They probably didn't even get any in there IV lol! It just gets funnier the more I think about it. You can give 15 mcg of fentanyl to a 80 y/o little old lady and she won't blink from it. This patient, having OD'd on narcotics, was so used to them from home that 15 mcg/hr is probably juuuust keeping them from DTs. The only time you'll see a change in hemodynamics when administering fentanyl is if the hemodynamics are being held where they are due to a stress response from patient being in pain. These explanations for the bradycardia are essentially zebras when there was much more likely a horse which caused it.įentanyl does not cause a vasovagal response. I don't believe it was either of the drips. Could fentanyl effect the heart rate with no changes to the blood pressure? I learn and remember things betterįentanyl is preferred because of its ability to attentuate hemodynamic stability but it can stimulate a vasovagal response. I suspect, in this situation, her heart rate had nothing to do with the drips.Įveryone was telling me that it was the fentanyl but didn't understand it. Pt had continued transient asymptomatic bradycardia. Left the fentanyl drip on with ranges of 50 to 75mcg/kg/hr. The next day the discontinued the propofol and precedex drip.
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