Epinephrine (Pediatric) & Fentanyl

Question 1

Fentanyl

Brand Names

Answer 1

-Duragesic
-Sublimaze

Question 2

Fentanyl

Classes

Answer 2

-narcotic analgesic
-narcotic agonist

Question 3

Fentanyl

Supply

Answer 3

-ampule
-vial

Question 4

Fentanyl

Mechanism of Action

Answer 4

-alleviates pain by depressing CNS
-depresses respiratory centers in the brainstem
-decreases venous return to the heart
-decreases preload
-decreases afterload

Question 5

Fentanyl

Indications

Answer 5

-moderate to severe pain
-procedural sedation including intubation

Question 6

Fentanyl

Contraindications

Answer 6

-known hypersensitivity
-head injury
-decreased level of consciousness
-respiratory depression
-hemodynamically significant hypotension

Question 7

Fentanyl

Adverse Reactions

Answer 7

-CNS depression
-respiratory depression
-respiratory arrest
-hypotension
-bradycardia
-tachycardia
-dsyrhythmias
-syncope
-dyspnea
-nausea, vomiting

Question 8

Fentanyl

Routes

Answer 8

-IV
-IO
-IM

Question 9

Fentanyl

Onset

Answer 9

1-3 minutes

Question 10

Fentanyl

Adult Dose

Answer 10

25-50 mcg
maximum dose 200 mcg

Question 11

Fentanyl

Pediatric Dose

Answer 11

1-2 mcg/kg
maximum dose 50mcg

Question 12

Fentanyl

Special Considerations

Answer 12

-duration of drug is 30-60 mins
-100mcg of the drug is equivalent to 10mg morphine

Question 13

Epinephrine

Pediatric Cardiac Arrest IV/IO

Answer 13

0.01 mg/kg (1:10,000)
may repeat 3-5 minutes

Question 14

Epinephrine

Pediatric Cardiac Arrest ET

Answer 14

0.1 mg/kg (1:1,000) diluted in 3-5 mL NS
may repeat 3-5 minutes

Question 15

Epinephrine

Pediatric
Hemodynamically significant bradycardia IV/IO

Answer 15

0.01 mg/kg (1:10,000)

Question 16

Epinephrine

Pediatric
Hemodynamically significant bradycardia ET

Answer 16

0.1 mg/kg (1:1,000) diluted in 3-5 mL NS, until IV/IO access