Opioids

Question 1

T/F: Fentanyl is commonly used as an infusion for consistent pain management

Answer 1

false
- fentanyl has high context sensitive half-time, so it is not ideal for surgical cases

Question 2

What is the low dose range of fentanyl when used for analgesia?

Answer 2

0.5 - 1 mcg/kg

Question 3

What is the non-weight based dose of fentanyl for adults?

Answer 3

50 - 100 mcg

Question 4

How much fentanyl should we give for induction when using inconjunction with propofol?

Answer 4

50 - 100 mcg initially, repeat as needed

Question 5

If a patient is elderly or poor- risk patient, what dose of fentanyl should we consider?

Answer 5

25 - 50 mcg

Question 6

Intraoperativly, if the patient is moving or you see changes in vital signs indicating surgical stress or lightening of anesthesia, how much fentanyl should you give?

Answer 6

25 - 50 mcg as needed

Question 7

If you are only using fentanyl as the sole surgical anesthesia agent intraoperatively, how much should you give?

Answer 7

50 - 150 mcg/kg (large dose)

Question 8

How much fentanyl should be given as an adjunct to regional anesthesia when additional analgesia is required? How often?

Answer 8

50 - 100 mcg q1-2 hours as needed

Question 9

Post-operatively, the patient is experiencing pain. How much fentanyl should be given?

Answer 9

50 - 100 mcg

Question 10

If the patient is exhibiting signs of emergence delirium after surgery, how much fentanyl should be given?

Answer 10

50 - 100 mcg

Question 11

How much fentanyl should be given if the patient is tachypneic after surgery?

Answer 11

50 - 100 mcg

Question 12

Sufentanil Table 12-7

Question 13

Remifentanil Table 12-7

Question 14

Dilauded opioid lecture slide 16

Question 15

Morphine Barash