Fentanyl (Sublimaze)

Question 1

Indications
• Moderate to severe pain
• The objective of pain management is not the removal of all pain, but rather, to make the patient’s
pain tolerable enough to allow for adequate assessment, treatment and transport • Treatment of shivering after therapeutic induced hypothermia (TIH).

Dosage and Administration Adult:
IV/IO route: 1-2 mcg/kg, SLOW IV/IO bolus.
Dose may be repeated after 10 minutes and titrated to clinical effect to a maximum cumulative dose of 300mcg
Additional dosing requires BASE CONTACT
IN route:
1-2 mcg/kg IN single dose.
Repeat dosing only via IV route, and 10 minutes after initial IN dose up to a maximum cumulative dose of 300mcg
Additional dosing requires BASE CONTACT
Consider initial lower dose of 0.5-1 mcg/kg in elderly
Pediatric (1-12 years): IV/IO route:
1 mcg/kg SLOW IV/IO bolus.
Dose may be repeated after 10 minutes and titrated to clinical effect to a maximum cumulative dose of 3 mcg/kg
IN route:
1 mcg/kg IN single dose.
Repeat dosing only via IV route, and 10 minutes after initial IN dose up to a maximum cumulative dose of 3 mcg/kg
IN route requires BASE CONTACT and approval for any patient

Answer 1

Fentanyl (Sublimaze)