Fentanyl

Question 1

Fentanyl Trade Name

Answer 1

Fentanyl citrate (Sublimaze) (Not carried by Danbury)

Question 2

Fentanyl Classification

Answer 2

Opioid analgesic

Question 3

Fentanyl Mechanism

Answer 3

Medscape:
Narcotic agonist-analgesic of opiate receptors; inhibits ascending pain pathways, thus altering response to pain; increases pain threshold; produces analgesia, respiratory depression, and sedation

Question 4

Fentanyl Onset of Action

Answer 4

Capital:
1-3 mins IV

Question 5

Fentanyl Duration of Action

Answer 5

Capital:
30-60 mins

Question 6

Fentanyl Indications

Answer 6

CT Protocols:
Moderate to severe pain
Post-intubation analgesia

Question 7

Fentanyl Contraindications

Answer 7

CT Protocols:
Allergy, BP < 100 mmHg, Patient with non-opioid directive
Capital:
Hypersensitivity, Respiratory. depression

Question 8

Fentanyl Side Effects/ Precautions/ Comments

Answer 8

Capital:
Respiratory depression, Confusion, Sedation, Bradycardia, Hypotension, Nausea/vomiting, Tachycardia, Syncope

Question 9

Fentanyl Adult Dose

Answer 9

CT Protocols:
1 mcg/kg (up to 100 micrograms) IV/IO; may repeat every five minutes to a max dose of 300 micrograms.

Question 10

Fentanyl Pediatric Dose

Answer 10

1 mcg/kg IV/IO/IM/IN repeated every 5-10 minutes; max single dose 100 mcg

Question 11

Fentanyl Max Dose Adult (Pediatric)

Answer 11

100mcg/dose, 300mcg total

Question 12

Fentanyl Routes of Administration

Answer 12

IV/IO/IM

Question 13

Fentanyl How Supplied

Answer 13

50mcg/ml vials
Chemically unrelated to morphine, yet 50-100 times stronger with shorter half-life and less chance of vomiting. Increased respiratory depression when used with other CNS depressants.