Fentanyl

Question 1

fentanyl (class 2)

Answer 1

narcotic analgesic

CNS depressant

Question 2

fentanyl (actions 2)

Answer 2

CNS depression - binds to opiate receptor sites

alters the respons to and perception of pain

Question 3

fentanyl (indications 2)

Answer 3

sedation prior to intubation

moverate to severe pain (chest pain, burns, isolated extremety trauma)

Question 4

fentanyl (dosage/route 2)

Answer 4

25-100MCG slow IVP over 2-3 min

may repeat in 5-10 minutes prn to a max of 200mcg

Question 5

fentanyl (side effects 5)

Answer 5

decreased LOC

paradoxical excitation

respiratory depression and/or arrest

arrhythmias, bradycardia, hypotension

nausea/vomiting

Question 6

fentanyl (contraindications 3)

Answer 6

known hypersensitivity

MAO inhibitors within 14 days

Myasthenia Gravis

Question 7

fentanyl (special information 7)

Answer 7

may produce severe or fatal reactions when given to patients on MAOIs

additive CNS depression with alcohol, antidepressants, antihistamines, or sedatives/hypnotics

monitor vital signs and ECG continuously

Naloxone will reverse overdose effects

assess effectiveness of administration with reassessment of pain, respiratory status and sedative effects

use with caution in pts with head trauma, increased ICP, undiagnosed abdominal pain, elderly, debilitated

reduce dosage for pts with COPD, respiratory problems or hepatic/renal insufficiency

Question 8

fentanyl (pediatric note 2)

Answer 8

refer to prediatric drug guide

for children 1-12yrs: 1-2mcg/kg slow IVP/IO/IM