Fentanyl

Question 1

Fentanyl Class

Answer 1

Narcotic analgesic

Question 2

Fentanyl Presentation

Answer 2

100 mcg in 2 mL ampoule. (0.1 mg in 2 mL)

Question 3

Fentanyl Administration

Answer 3

Intranasal (IN)
Intravenous (IV)

Question 4

Fentanyl Indications

Answer 4

Procedural Sedation
Acute severe pain

Question 5

Fentanyl Contraindications

Answer 5

<1 year old
Known fentanyl hypersensitivity
ALoC
Bilateral occluded nasal passage
Nasal trauma
Epistaxis
Hypovolaemia.

Question 6

Fentanyl Dosage

Answer 6

Adult: 0.1mg (100mcg) IN
(Rpt x 1 at not < 10 mins if severe pain persists)
0.05mg (50mcg) IN

Paediatric: 0.0015 mg/Kg (1.5 mcg/Kg) IN.
Repeat by one after 10 minutes if severe pain persists.

Question 7

Fentanyl Side Effects

Answer 7

Sedation
Nausea
Vomiting
Respiratory Depression

Question 8

Fentanyl Additional Info

Answer 8

Caution if patient has transdermal Fentanyl patch.
Include an additional 0.1 mL, to allow for dead space in MAD, in the calculated volume required.
Administer 50% volume in each nostril if more than 1 mL.
(Adults) In the absence of acquiring IV access, a second dose of IN Fentanyl may be administered