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<< Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department

Time- And Cost-Effective Strategies

Consider intranasal fentanyl or intramuscular or subcutaneous morphine for a hypercyanotic Tet spell, if intravenous access will cause significant delay. These routes of administration are rapid and available without the need for intravenous access, which can be difficult in the critically ill infant or child. Moreover, obtaining intravenous access can exacerbate a Tet spell by further upsetting the child. 

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Last Modified: 11/17/2017
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