Which statement is NOT listed as an indication for fentanyl in adults?

• A. Chest Pain (Presumed Ischemic Origin)
• B. Pacing
• C. Sickle Cell Crisis
• D. Hypertension management

Answer: (D)

Fentanyl is used in adults mainly for rapid analgesia in acute pain scenarios and for pain relief during certain procedures, not as a treatment to control blood pressure. The statement about chest pain with presumed ischemic origin is a recognized indication because providing pain relief helps reduce sympathetic drive and oxygen demand during suspected cardiac ischemia. Pain relief during pacing procedures is another context where fentanyl is used to alleviate discomfort. Vaso-occlusive crisis in sickle cell disease is also treated with opioids like fentanyl to manage severe pain.

Hypertension management is not an indication for fentanyl. High blood pressure is addressed with medications that specifically reduce BP, and opioids are not used as antihypertensives.