Fentanyl

Question 1

Fentanyl Trade Name?

Answer 1

Actiq, Fentora, Duragesic

Question 2

Fentanyl Classification?

Answer 2

Opioid Analgesic

Question 3

Fentanyl Mechanism?

Answer 3

Opiod receptor agonist. Multiple affinities but primarly by binding to MU in the CNS and PNS inhibiting ascending pain pathways. Also, increases pain threshold.

Question 4

Fentanyl Indications?

Answer 4

-Pain Management
-Chest Pain/suspected ACS
-Premedication for RSI
-Post-intubation sedation

Question 5

Fentanyl Contraindications?

Answer 5

-Respiratory depression or insufficiency
-Uncorrected hypotension (BP<100 Systolic)

Question 6

Fentanyl Side Effects/Precautions?

Answer 6

-Bradycardia
-Respiratory depression
-Chest Wall Rigidity
-Kidey & Liver Dysfunction

Question 7

Fentanyl Adult Dose?

Answer 7

1 mcg/kg IV/IO/IM/IN repeated every 5-10 minutes

Question 8

Fentanyl Pediatric Dose?

Answer 8

1 mcg/kg IV/IO/IM/IN repeated every 5-10 minutes

Question 9

Fentanyl Onset of Action?

Answer 9

Immediate

Question 10

Fentanyl Duration of Action?

Answer 10

30-60 minutes

Question 11

Fentanyl Max Dose Adult/Pediatric?

Answer 11

Max Single Dose 100mcg, 300mcg total

Question 12

Fentanyl Routes of Administration?

Answer 12

IV/IO/IM/IN

Question 13

Fentanyl How Supplied?

Answer 13

50mcg/ml vials