The patient should be awake or easily roused to voice prior to each dose.Baseline set of observations prior to drug administration.Patient's receiving intranasal fentanyl will be monitored like a patient receiving IV or IM opioids such as morphine (RCH Children's Pain Management Service Guidelines): Note: Do NOT draw up 0.1 mL extra for second dose when re-using the delivery device (MAD)Īll patients require documented baseline pain score (Faces or Visual Analogue as age appropriate) and baseline sedation score.Dose should be divided between nostrils.With the child sitting at approximately 45 degrees or with head to one side, insert the device loosely into the nostril and press the plunger quickly.Attach Mucosal Atomiser Device (MAD300) on to the end of the syringe. ![]() Draw up appropriate dose for weight (see table below) plus 0.1 mL extra to the first dose (to account for the dead space in the device).Note: Volumes have been rounded to the nearest 0.05 mL Administration
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