Fentanyl Flashcards
1
Q
Trade name
A
sublimaze
2
Q
Class
A
Synthetic opioid analgesic, schedule II narcotic
3
Q
Mechanism of action
A
Inhibits ascending pain pathways in CNS, increases pain threshold and alters pain perception by binding to opiate receptors
4
Q
Indications
A
Pain analgesic
5
Q
Contraindications
A
Hypersensitivity
6
Q
Precautions
A
Elderly, seizure disorders, myasthenia gravis, alcohol intoxication, previous administration of opioids
7
Q
Adverse effects
A
Bradycardia, hypotension, cardiac arrest, respiratory depression, chest tightness (rigidity) and laryngospasm
8
Q
Adult dose
A
1 mcg/kg IVP (titrate to effect. may repeat as 1/2 dose every 5 minutes to max of 3 mcg/kg
9
Q
Pediatric
A
1 mcg/kg IVP
10
Q
Special considerations
A
Continue close monitoring of patients vital signs: BP,HR,RR, and SPO2
11
Q
Protocols used
A
A-9 bradyarrythmias A-11a V-tach unstable with a pulse A-12a PSVT unstable A-22 Overdose B-9 Pediatric PSVT E-19 Pain and sedation E-17 RSI
