Fentanyl Flashcards

1
Q

Trade name

A

sublimaze

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2
Q

Class

A

Synthetic opioid analgesic, schedule II narcotic

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3
Q

Mechanism of action

A

Inhibits ascending pain pathways in CNS, increases pain threshold and alters pain perception by binding to opiate receptors

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4
Q

Indications

A

Pain analgesic

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5
Q

Contraindications

A

Hypersensitivity

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6
Q

Precautions

A

Elderly, seizure disorders, myasthenia gravis, alcohol intoxication, previous administration of opioids

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7
Q

Adverse effects

A

Bradycardia, hypotension, cardiac arrest, respiratory depression, chest tightness (rigidity) and laryngospasm

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8
Q

Adult dose

A

1 mcg/kg IVP (titrate to effect. may repeat as 1/2 dose every 5 minutes to max of 3 mcg/kg

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9
Q

Pediatric

A

1 mcg/kg IVP

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10
Q

Special considerations

A

Continue close monitoring of patients vital signs: BP,HR,RR, and SPO2

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11
Q

Protocols used

A
A-9 bradyarrythmias
A-11a V-tach unstable with a pulse
A-12a PSVT unstable
A-22 Overdose
B-9 Pediatric PSVT
E-19 Pain and sedation
E-17 RSI
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