Grandma brought by family after having Mental Status change... Grandma has been falling, slurred speech, confusion and lethargy for 2-3 days.
Grandma has chronic pain issues and recent fall which exacerbated chronic pain.. Good intentioned PCP prescribed Fentanyl patches (25mcg dosage) to get her off oral narcotics and try and give continuous pain control.
Grandma did not understand directions of use (change patch every 3 days). Grandma arrived covered in patches.. Applied every time and everywhere pain was bad..
Grandma was STONED.
*Dilaudid is 8x stronger than Morphine. Fentanyl is 80x stronger than Morphine.