Fentanyl

Question 1

Fentanyl - Contraindications (2)

Precautions (7)

Answer 1

Contraindications:

• hypersensitivity
• late second stage labour

Precautions: (FACE-LMA)
# F: facial trauma, rhinitis, rhinorrhoea
# A: opioid addiction 
# C: COPD / respiratory depression
# E: elderly / frail patients

# L: liver impairment
# M: monoamine oxidase inhibitors (anti-depressants)
# A: current asthma

Question 2

Fentanyl - Side Effects (4)

Answer 2

> respiratory depression
apnoea
rigidity of the diaphragm / intercostal muscles
bradycardia

Question 3

Fentanyl - Actions

Answer 3

A synthetic opioid analgesic used in relieving pain and severe headache, especially where a short duration of action is desirable or where hypotension, nausea and or vomiting are present.

Question 4

Fentanyl - Presentation

Answer 4

250mcg in IN cartridge; 100mcg in 2ml for IV use

Question 5

Fentanyl - Onset and Duration

Answer 5

IV effects:

• onset immediate
• peak <5/60
• duration 30-60/60

IN effects:
- peak 2/60