FENTANYL Flashcards
1
Q
Action & side effects
A
Fentanyl interacts with opiod receptors in the brain to provide analgesia
• Hypotension • Bradycardia • Drowsiness • Nausea and vomiting • Respiratory depression • Muscular rigidity (particularly muscles of respiration)
2
Q
indications, contraindications and precautions
A
• Significant pain
KSAR
• Patients <1 year old
Elderly and frail (doses should be halved) • Hypotension • Respiratory tract burns • Respiratory depression or failure • Addiction to narcotics • Current MAIO therapy
3
Q
ADULT DOSAGES
A
Adult: NAS- ≥70 yrs - 25-50mcg Repeat up to 50mcg every 10mins if required <70yrs - 50-100mcg Repeat up to 100mcg every 10 mins if required Max dose 200mcg EMT 2 IM ≥70 yrs - 25-50mcg Repeat up to 50mcg every 10mins if required <70yrs - 50-100mcg Repeat up to 100mcg every 10 mins if required Max dose 200mcg EMT 2 IV Dilute 100mcg/2ml Fentanyl with 8ml NaCl 0.9%in a 10ml syringe ≥70 yrs - 25-50mcg Repeat up to 50mcg every 10mins if required <70yrs - 50-100mcg Repeat up to 100mcg every 10 mins if required Max dose 200mcg
4
Q
PAEDEATRIC DOSAGES
A
WEIGHT NAS DOSE VOLUME 10 - <15kg 20 micro 0.4mL 15 - <20kg 25 micro 0.5mL 20 - <25kg 30 micro 0.6mL 25 - 30kg 40 micro 0.8mL >30kg 45 micro 0.9mL WEIGHT DOSE VOLUME 10 - <15kg 10 micro 0.2mL 15 - <20kg 15 micro 0.3mL 20 - <25kg 20 micro 0.4mL 25 - 30kg 25 micro 0.5mL >30kg 30 micro 0.6mL
EMT 2 NAS ≥1yr-1.5mcg/kg Single max dose - 50mcg Repeat once at 1mcg/kg at 10mins Max dose 100mcg EMT 2 IM ≥1yr-1.5mcg/kg Single max dose - 50mcg Max dose 2mcg/kg EMT 2 IV Dilute 100mcg/2ml Fentanyl with 8ml NaCl 0.9%in a 10ml syringe ≥1yr-1.5mcg/kg Single max dose - 25mcg Repeat at 0.5mcg/kg (max 25mcg) every 5mins Max dose 2mcg/kg
