Fentanyl (Sublimaze)

Question 1

Fentanyl Class?

Answer 1

Synthetic Opioid analgesic

Question 2

Fentanyl Action?

Answer 2

Combines with the receptor sites in the brain to produce potent analgesic effects.

Question 3

Fentanyl Indications?

Answer 3

Pain and sedation

Question 4

Fentanyl Contraindications?

Answer 4

hypersensitivity to opiates, hypotension, head injury, respiratory depression, cardiac dysrhythmias, myasthenia gravis

Question 5

Fentanyl Onset/Duration?

Answer 5

Onset 1-2 min IV

Duration 30-60 min

Question 6

Fentanyl Dose/Route?

Answer 6

Adult: 0.5 – 2 mcg/kg IV/IN over 2 mins, q 5 min, max single dose of 100 mcg, max total dose of 300 mcg.

Peds: 0.5 – 1 mcg/kg IV/IN over 2 mins, q 5 min, max single dose of 100 mcg, max total dose of 3 mcg/kg.

Question 7

Fentanyl Side Effects?

Answer 7

Respiratory depression, hypotension or hypertension, bradycardia, nausea/vomiting, and rigidity of chest wall muscles