![]() The patient was treated with whole bowel irrigation and continuous intravenous naloxone infusion for approximately 48 hours without complications. ![]() Initial vital signs showed the patient to be afebrile and normotensive with a heart rate of 63, respiratory rate of 16, and oxygen saturation of 100% on 2 liters nasal cannula after administration of 2 milligrams of intravenous naloxone. In the ED, the patient was obtunded, dizzy and drowsy. The patient chewed and ingested two illegally purchased transdermal fentanyl patches. A 32-year-old man was brought to the emergency department (ED) via emergency medical services for toxic ingestion and suicide attempt. ![]() ![]() In this report, we describe a case of transbuccal and gastrointestinal ingestion of fentanyl patches and the management of such ingestion. Fentanyl is available as a transdermal system for the treatment of chronic pain in opioid-tolerant patients however, it carries a black box warning due to both the potency of the product and the potential for abuse. ![]()
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