Methoxyfluorane

Question 1

Methoxyfluorane

Presentation

Answer 1

3mL ampoule for inhalation via Penthrox inhaler.

Question 2

Methoxyfluorane

Use

Answer 2

• Pain.

Question 3

Methoxyfluorane

Type

Answer 3

halogenated ether that produces powerful modification of the awareness of pain with an associated light headed sensation..

Question 4

Methoxyfluorane

Dose (inc repeat)

Answer 4

• Initial dose: 1 x 3ml ampoule.
• Subsequent dose: 1 x 3ml ampoule after 15 minutes if still in severe pain or pain returns, once only.
• Maximum dose: 6ml/24 hrs or 15ml (5 doses) per week
.

Question 5

Methoxyfluorane

inc onset & offset
Actions

Answer 5

• 6-8 breaths/ 1-2 min onset with maximum level after 2-4 minutes..

Question 6

Methoxyfluorane

Contraindications

Answer 6

• Patients who are unable to understand or co-operate.
• Patients with severe renal impairment.
• Patients with head injury and altered consciousness that prevents co-operation with its use.
• Hypersensitivity e.g. malignant hyperthermia
.

Question 7

Methoxyfluorane

Adverse effects

Answer 7

•	Lightheaded
•	Dizziness
•	Drowsy
•	Nausea
•	Malignant hyperthermia
.

Question 8

Methoxyfluorane

Precautions

Answer 8

Use with charcoal filter attached
• Where administration in transit is necessary, the rear extractor fan must be used and the rear facing seat should remain vacant
• Instruct the patient to breathe in through their mouth and out through their mouth via the inhaler. For maximum effect cover the air dilutor hole.
• Initial breath is strong and may cause the patient to cough, so advise to take gently
• Watch for drowsiness
• If oxygen is required deliver separately
• Place in a sealed plastic bag when not in use
.