Fentanyl

Question 1

Fentanyl - Drug Class/Presentation

Answer 1

Narcotic analgesic, 100mcg/2mL

Question 2

Fentanyl - Pharmacology

Answer 2

Fentanyl is a synthetic narcotic analgesic that acts on the central nervous system by binding with the opioid receptors

Question 3

Fentanyl - Metabolism

Answer 3

Hepatic metabolism and renal excretion

Question 4

Fentanyl - Onset, duration, half-life

Answer 4

Onset -

Question 5

Fentanyl - Indications

Answer 5

• Significant Pain
• Sedation (maintenance of an established ETT)
• Autonomic dysreflexia (with BP greater 180mmHg)

Question 6

Fentanyl - Contraindications

Answer 6

• KSAR or hypersensitivity to Fentanyl

Question 7

Fentanyl - Precautions

Answer 7

• Elderly patients
• Hypotension
• Respiratory tract burns
• Respiratory depression and/or failure
• Known addiction to narcotics
• Current MAOI therapy

Question 8

Fentanyl - Side Effects

Answer 8

• Bradycardia
• Drowsiness
• Hypotension
• Nausea and/or vomiting
• Pin point pupils
• Respiratory depression
• Muscular rigidity (particularly muscles of respiration)

Question 9

Fentanyl - Routes of Administration

Answer 9

• IN
• IM
• IV
• IO

Question 10

Fentanyl - Significant Pain and Autonomic Dysreflexia Adult Doses

Answer 10

IM - 25-100mcg, repeated at up to 50mcg every 10 min, no max

IV - 25mcg, repeated every 5 mins, no max

Question 11

Fentanyl - Sedation Adult Doses

Answer 11

IV - 25mcg, PRN, no max

Question 12

Fentanyl - Significant Pain Paediatric Doses

Answer 12

NAS - 1.5mcg/kg repeated once at 1mcg/kg at 10 min, max 100mcg
IM - 2mcg/kg, repeated once at 1mcg/kg at 10 min, no max
IV - 1mcg/kg, repeat at 0.5mcg/kg, repeat every 5 mins, no max

Question 13

Fentanyl - Sedation Paediatric Doses

Answer 13

IV - 1mcg/kg, no max dose