Fentanyl (IM, IV & IN) Flashcards
Written & Practical
1
Q
Indications
A
Moderate to severe pain
End of life care
2
Q
Contraindications
A
Known severe allergy
3
Q
Actions (pharmodynamics)
A
An opiate analgesia. It is an opiate agonist that binds to opiate receptors in the brain and spinal cord
4
Q
Side effects
A
Respiratory depression
Bradycardia
Hypotension
Sedation
Nausea & Vomiting
Itch
Euphoria
5
Q
Cautions
A
Shock
Opiate administration
Altered LOC
Respiratory Despression
Age over 75 years
SOAR75
6
Q
Administration & Dose
A
IV & IM : Dilute 100mg to total 10ml NaCl = 10mcg/ml
IV : 10-50mcg, every 5 mins as required.
IM : 50-100 mcg, every 20 mins if required, max 3 doses
IN : (children) paedriatric drug tables, every 20 mins if required. Undiluted.
7
Q
Onset of effect
A
2-5 min
8
Q
Duration of effect
A
30 -60 min
