Fentanyl Flashcards

1
Q

Fentanyl - Type

A

Fast acting synthetic narcotic analgesic

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2
Q

Fentanyl - Presentation

A

600mcg in 2ml (30mcg/0.1ml)

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3
Q

Fentanyl - Action

A

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

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4
Q

Fentanyl - Uses (2)

A
  1. Management of moderate to severe pain

2. Safe analgesic alternative in known allergy to morphine sulphate

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5
Q

Fentanyl - Adverse effects (5)

A
  1. Central nervous system depression
  2. Respiratory depression
  3. Nausea/vomiting
  4. Occasionally - bradycardia
  5. Rigidity of the diaphragm, intercostals and jaw (rare)
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6
Q

Fentanyl - Contraindications (4)

A
  1. Known allergy or previous reaction to fentanyl
  2. Bleeding or bilateral occluded nose within
  3. Altered level of consciousness
  4. Children under the age of 1 year
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7
Q

Fentanyl - Precaution

A

Active labour

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8
Q

Fentanyl - Doses

A

NOTE ADD 0.1ML TO PRIME DEVICE
1-5 yrs (20kg) 30mcg (0.1ml) then 30mcg @ 10/60
5-12 yrs (20-40kg) 60mcg (0.2ml) then 60mcg @ 10/60
Small adult (40-70kg) 120mcg (0.3ml) then 60mcg @ 10/60
Adult (>70kg) 180mcg (0.6ml) then 60mcg @ 10/60

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9
Q

Fentanyl - Special notes (6)

A
  1. Max 0.5ml per nostril
  2. Doses of morphine post fentanyl at half doses
  3. Doses of ketamine post fentanyl at half doses
  4. No fentanyl if max morphine has been given (AP)
  5. Antiemetics should only be given if pt is nauseous/vomiting prior to fentanyl
  6. Never administer IN fentanyl IV
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