Which condition is a contraindication to OTFC use?

Which condition is a contraindication to OTFC use?

• A. Hypovolemic shock
• B. Hypertension
• C. Asthma
• D. Depression

Answer: (A)

Oral transmucosal fentanyl citrate is an opioid analgesic used in the field for quick pain relief. In hypovolemic shock, the patient already has very low perfusion and a tendency toward hypotension. An opioid like fentanyl can further depress respiration and lower blood pressure, worsening perfusion and supporting hemodynamic instability. Because of this risk, OTFC is contraindicated when a casualty is in hypovolemic shock. Hypertension, asthma, and depression do not by themselves contraindicate OTFC; analgesia may still be provided with appropriate monitoring and adjustments as needed.

Oral transmucosal fentanyl citrate is an opioid analgesic used in the field for quick pain relief. In hypovolemic shock, the patient already has very low perfusion and a tendency toward hypotension. An opioid like fentanyl can further depress respiration and lower blood pressure, worsening perfusion and supporting hemodynamic instability. Because of this risk, OTFC is contraindicated when a casualty is in hypovolemic shock.

Hypertension, asthma, and depression do not by themselves contraindicate OTFC; analgesia may still be provided with appropriate monitoring and adjustments as needed.