Fentanyl (Sublimaze®) Flashcards

1
Q

Fentanyl - Class

A
  • Narcotic Analgesic

* CNS Depesant

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2
Q

Fentanyl - Actions

A
  • CNS depression - binds to opiate receptor sites in the CNS

* Alters the response to and perception of pain

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3
Q

Fentanyl - Indications

A
  • Sedation prior to intubation

* Moderate to severe pain (CP, burns, isolated extremity trauma)

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4
Q

Fentanyl - Dosage/Route

A
  • 25-100 mcg slow IVP (over 2-3 min)

* May repeat in 30 min. prn

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5
Q

Fentanyl - Side Effects

A
  • Decreased LOC
  • Paradoxical excitation
  • Respiratory depression &/or arrest
  • Arrhythmias, bradycardia, hypotension
  • N/V
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6
Q

Fentanyl - Contraindications

A
  • Known hypersensitivity to the drug
  • MAO Inhibitors within 14 days
  • Myasthenia Gravis
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7
Q

Fentanyl - Special Information

A
  • May produce severe or fatal reactions when given to pts on MAOI’s
  • Additive CNS depression with alcohol, antidepressants, antihistamines, or sedative/hypnotics
  • Monitor VS & ECG continuously
  • Naloxone will reverse overdose effects
  • Assess effectiveness of administration with reassessment of pain, respiratory status & 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
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8
Q

Fentanyl - Pediatric Note

A
  • Refer to Pediatric Drug Guide

* For children 1-12 yrs: 1-2 mcg/kg slow IVP/IM

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