Fentanyl

Question 1

Fentanyl

Class

Answer 1

Narcotic Analgesic

Question 2

Fentanyl

Mechanism of Action

Answer 2

Agonist actions at the body’s opioid receptor. Increases tone and decreases smooth muscle of the GI tract.

Question 3

Fentanyl

Indications

Answer 3

Severe pain, adjunct to RSI, and maintenance of analgesia

Question 4

Fentanyl

Contraindications

Answer 4

Myasthenia gravis, children under two years of age.

Question 5

Fentanyl

Adverse Reactions

Answer 5

Bradycardia, seizures, and diaphoresis

Question 6

Fentanyl

Drug Interactions

Answer 6

May interact with alcohol or CNS depressants

Question 7

Fentanyl

Adult Dosage

Answer 7

25 – 100 mcg IV, IN, IM, IO

Question 8

Fentanyl

Pediatric Dosage

Answer 8

2 – 12 years old: 1 – 2 mcg/kg/dose

Question 9

Fentanyl

Onset IV

Answer 9

Immediate IV

Question 10

Fentanyl

Duration IV

Answer 10

30 – 60 minutes IV

Question 11

Fentanyl

Special Considerations

Answer 11

May cause life-threating hypovenation. Naloxone should be readily available.

Question 12

Fentanyl

Onset IM

Answer 12

7- 15 minutes IM

Question 13

Fentanyl

Peak Effect IV

Answer 13

peak effect 3-5 minutes

Question 14

Fentanyl

Peak Effect IM

Answer 14

30 minutes IM

Question 15

Fentanyl

Duration IM

Answer 15

1-2 hours IM