What is the first thing you will need to do if you note a toxic ...

[Coya19@aol.com]

What is the first thing you will need to do if you note a toxic or overdose reaction to the
  fentanyl transdermal patch?
 
  What will be an ideal response?

Question 2

Several days later you hear M.M. asking his son to bring in a decent razor because he is
  tired of having beard stubble. How would you address this issue?
 
  What will be an ideal response?

[bigsis44]

Answer to Question 1

Should this happen, the patch needs to be removed immediately, and the patient must be
monitored for serious respiratory depression for up to 12 hours after the patch is removed. Prepare
to administer an opioid antagonist if ordered.

Answer to Question 2

 Remind him about the need to use an electric shaver instead of a razor and the reasons why.
 Inform both of them that M.M. is taking a drug that can cause increased bleeding and is not
permitted to use a straight razor because of the risk for bleeding.
 This would also be a good time to review all other patient teaching related to warfarin therapy.

[Coya19@aol.com]

Excellent

[bigcheese9]

Gracias!