Fentanyl

Question 1

Fentanyl: Generic Name

Answer 1

Fentanyl

Question 2

Fentanyl: Trade Name

Answer 2

Sublimaze

Question 3

Fentanyl: Action

Answer 3

Bind to opiate receptors in the CNS, altering response to and perception of pain. Produces CNS depression

Question 4

Fentanyl: Indications

Answer 4

Pain management. Alternate to NTG in pts who are + for PED-5 administration or w/o relief after 3 NTG

Question 5

Fentanyl: Contraindications

Answer 5

Hypersensitivity

Question 6

Fentanyl: S.E.

Answer 6

Confusion, blurred vision, apnea, laryngospasm, allergic reaction, respiratory depression, arrhythmias, hypotension, N/V, skeletal, and thoracic muscle rigidity

Question 7

Fentanyl: Supplied

Answer 7

Ampules and vials 100mcg in 2mL

Question 8

Fentanyl: Adult Dose

Answer 8

1mcg/kg IV, IM, IO slow push (1-2m). Can consider repeating once after 5m, for a total of 2mcg/kg if pain has not been managed. Burns can be repeated x2, for a total of 3mcg/kg

Question 9

Fentanyl: Ped Dose

Answer 9

1mcg/kg IM, IV, IO slow push. Same max dose as Adult

Question 10

Fentanyl: Precautions

Answer 10

Chest wall rigidity possible with a high dose rapid push.

Question 11

Fentanyl: Class

Answer 11

Opioid analgesic, narcotic