CPG - Fentanyl

Question 1

Fentanyl Indications (5 = C-shns)

Answer 1

Analgesia: Use if: CSHNS
- Contraindication to Morphine
- Short duration of action required
- Hypotension
- Nausea and/or vomiting
- Severe headache

Sedation & CPR interfering patient

Question 2

Fentanyl Contraindications (2)

Answer 2

1. Hypersensitivity
2. Late 2nd stage labour

Question 3

Fentanyl Precautions (7 = PRICKER)

Answer 3

Pts on monoamine oxidase inhibitors
Rhinitis / facial trauma
Impaired hepatic function
Current Asthma
Known addiction to opioids
Elderly/frail patients
Respiratory depression

Question 4

Fentanyl Presentation

Answer 4

100mcg in 2ml glass ampoule
250mcg in 1ml glass ampoule or cartridge (IN use only)

Question 5

Fentanyl Dosage

Answer 5

IN: 200mcg (repeat up to 50mcg at 5 min intervals)

IV: 50mcg at 5 minute intervals