Fentanyl has made the probability of adverse events in jails even more likely. With fentanyl, withdrawal treatment is more complicated and changes such as ECG findings of prolonged QT/QTc (not described in the literature) may occur. Withdrawal screening, monitoring, treatment, and toxicologic data will be presented. The session will include case studies and strategies to counter fentanyl's challenges.

Educational Objectives

• Describe epidemiologic trends in fentanyl usage, risk, and environmental factors
• Differentiate the pharmacologic and physiologic actions of fentanyl versus other opiates
• Identify fentanyl use assessment, monitoring, and treatment for improved outcomes

Level: Intermediate