Fentanyl Flashcards
1
Q
Presentation of Fentanyl
A
100mcg in 2ml amp
600mcg in 2ml vial
2
Q
Pharmacology of Fentanyl
A
Synthetic narcotic analgesic
3
Q
Pharmacology of Fentanyl (actions)
A
CNS effects:
- Depression (leading to analgesia)
- Respiratory depression (leading to apnoea)
- Dependance (addiction)
CV effects:
- Decreases conduction velocity through the A.V. node
4
Q
Metabolsm of Fentanyl
A
By the liver and excreted by the kidneys
5
Q
Fentanyl Indications
A
Analgesia
Sedate to facilitate intubation
Sedate to maintain intubation
Drug facilitated intubation
6
Q
Fentanyl Contraindications
A
Known hypersensitivity
IV Amiodarone
7
Q
Fentanyl Precautions
A
Oral Amiodarone Pt's on MAO inhibitors Respiratory depression, e.g. COPD Impaired renal/hepatic function Current asthma Known addiction to narcotics Elderly patients Rhinitis, rhinorrhea or facial trauma (IN)
8
Q
Route of Administraion of Fentanyl
A
IV
IN
9
Q
Side Effects of Fentanyl
A
Bradycardia
Apnoea
Respiratory depression
Rigidity of the diaphragm and intercostals
10
Q
Effects of Fentanyl
A
IV
Onset: immediate
Peak: <5min
Duration: 30-60min
IN
Peak: 2min
