Fentanyl

Question 1

Fentanyl
Type

Answer 1

Fast acting synthetic narcotic analgesia

Question 2

Fentanyl
Presentation

Answer 2

250mcg in 1ml vial

Question 3

Fentanyl
Actions

Answer 3

Acts on the central nervous system by binding with the opioid receptors

Question 4

Fentanyl
Adverse Effects

Answer 4

CORNR
1. Central nervous system depression
2. Occasionally - bradycardia
3. Respiratory depression
4. Nausea/vomiting
5. Rigidity of the diaphragm, intercostals and jaw (rare)

Question 5

Fentanyl
Contraindications

Answer 5

BACK
1. Bleeding or bilateral occluded nose within
2. Altered level of consciousness
3. Children under the age of 1 year
4. Known allergy or previous reaction to fentanyl.

Question 6

Fentanyl
Precautions

Answer 6

1. Active Labour
2. Previous opiates

Question 7

Fentanyl
Dose

Answer 7

<20kg 1-5 years (initial 25mcg, repeat 25mcg every 10mins as required)

20-39kg 5-12 years (initial 50mcg, repeat 50mcg every 10mins as required)

Small adult/adolescent/elderly/frail (40-70kg) (initial 100mcg, repeat 50mcg every 5mins as required)

12+ yrs - adult (>70kg) (initial 200mcg, repeat 50mcg every 5mins as required)