EPI (peds) & Fentanyl

Question 1

EPI PEDS Dosages:

Answer 1

-Cardiac arrest: 0.01 mg/kg (1:10,000) IV/IO {may repeat every 3-5 min during resuscitation}
-Cardiac arrest: 0.1 mg/kg (1:1,000) ET diluted in 3.0-5.0 mL normal saline {may repeat every 3-5 min during resuscitation}

-Hemodynamically significant bradycardia: 0.01 mg/kg (1: 10,000) IV/IO
-Hemodynamically significant bradycardia: 0.1 mg/kg (1:1,000) ET diluted in 3-5 mL normal saline until IV/IO access

-Bronchospasm associated with asthma/allergic reaction/anaphylaxis: 0.01 mg/kg (1:1,000) IM
o EpiPen Jr. ® auto-injector
0.15 mg IM

Question 2

Fentanyl Brand Names:

Answer 2

-Duragesic
-Sublimaze

Question 3

Fentanyl Classes:

Answer 3

-Narcotic Analgesic
-Narcotic Agonist

Question 4

Fentanyl Standard Supply:

Answer 4

-Ampule
-Vial

Question 5

Fentanyl MOA:

Answer 5

-Alleviates pain by depressing the CNS
-Depresses respiratory centers in the brainstem
-Decreases venous return to the heart
-Decreases preload
-Decreases afterload

Question 6

Fentanyl Indications:

Answer 6

-Moderate to severe pain
-Procedural sedation including intubation

Question 7

Fentanyl Contraindications:

Answer 7

-Hypersensitivity
-Head injury
-Decreased LOC
-Respiratory depression
-Hemodynamically significant hypotension

Question 8

Fentanyl S/E:

Answer 8

-CNS depression
-Respiratory depression
-Respiratory arrest
-Hypotension
-Bradycardia
-Tachycardia
-Dysrhythmias
-Syncope
-Dyspnea
-Nausea, vomiting

Question 9

Fentanyl Routes:

Answer 9

IV/IO/IM

Question 10

Fentanyl Onset:

Answer 10

1-3 minutes

Question 11

Fentanyl Adult Dosages:

Answer 11

25-50 mcg; MAX dose 200 mcg

Question 12

Fentanyl PEDS dosages:

Answer 12

1.0-2.0 mcg/kg; MAX dose 50 mcg