Fentanyl (Sublimaze)

Question 1

Pharm. and Action

Answer 1

Pure opiod analgesic

Question 2

Indications

Answer 2

Pain management; extremity fractures; Back and neck injuries when sedation/pain relief is necessary to prevent patient from moving around and potentially hurting themselves; Burns; Trauma without suspicion of head or abdominal trauma

Question 3

Contraindications

Answer 3

Patients with known intolerance to fentanyl; use caution if patient is pregnant, pregnancy risk category C

Question 4

Administration

Answer 4

Adult dose 50mcg given slowly IV/IM titrated to relief; Pediatric dose 2-5 mcg/kg IV/IO

Question 5

Side Effects and Special Notes

Answer 5

Respiratory depression; Decreased BP, monitor BP before and after administration, BP must be over 110 systolic; Decreased level of consciousness, watch for respiratory depression; Decreased heart rate; Have naloxone available to reverse administration; May follow administration with Zofran for nausea; A dose of 100 mcg is approx. equivalent to 10 mg MS

Question 6

Class

Answer 6

A