EPI (peds) & Fentanyl Flashcards

1
Q

EPI PEDS Dosages:

A

-Cardiac arrest: 0.01 mg/kg (1:10,000) IV/IO {may repeat every 3-5 min during resuscitation}
-Cardiac arrest: 0.1 mg/kg (1:1,000) ET diluted in 3.0-5.0 mL normal saline {
may repeat every 3-5 min during resuscitation}

-Hemodynamically significant bradycardia: 0.01 mg/kg (1: 10,000) IV/IO
-Hemodynamically significant bradycardia: 0.1 mg/kg (1:1,000) ET diluted in 3-5 mL normal saline until IV/IO access

-Bronchospasm associated with asthma/allergic reaction/anaphylaxis: 0.01 mg/kg (1:1,000) IM
o EpiPen Jr. ® auto-injector
0.15 mg IM

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2
Q

Fentanyl Brand Names:

A

-Duragesic
-Sublimaze

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3
Q

Fentanyl Classes:

A

-Narcotic Analgesic
-Narcotic Agonist

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4
Q

Fentanyl Standard Supply:

A

-Ampule
-Vial

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5
Q

Fentanyl MOA:

A

-Alleviates pain by depressing the CNS
-Depresses respiratory centers in the brainstem
-Decreases venous return to the heart
-Decreases preload
-Decreases afterload

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6
Q

Fentanyl Indications:

A

-Moderate to severe pain
-Procedural sedation including intubation

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7
Q

Fentanyl Contraindications:

A

-Hypersensitivity
-Head injury
-Decreased LOC
-Respiratory depression
-Hemodynamically significant hypotension

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8
Q

Fentanyl S/E:

A

-CNS depression
-Respiratory depression
-Respiratory arrest
-Hypotension
-Bradycardia
-Tachycardia
-Dysrhythmias
-Syncope
-Dyspnea
-Nausea, vomiting

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9
Q

Fentanyl Routes:

A

IV/IO/IM

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10
Q

Fentanyl Onset:

A

1-3 minutes

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11
Q

Fentanyl Adult Dosages:

A

25-50 mcg; MAX dose 200 mcg

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12
Q

Fentanyl PEDS dosages:

A

1.0-2.0 mcg/kg; MAX dose 50 mcg

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