Fentanyl

Question 1

Drug Class of Fentanyl

Answer 1

Narcotic Analgesia

Question 2

Pharmacology of Fent.

Answer 2

Synthetic narcotic analgesic that acts on the CNS by binding with opioid receptors

Question 3

Metabolism of Fent.

Answer 3

Hepatic metabolism and renal excretion

Question 4

Indications for Fent.

Answer 4

Significant Pain
Sedation
Autonomic Dysreflexia (systolic BP >160)
RSI

Question 5

Contradictions of Fent.

Answer 5

Allergy/ADR

Question 6

Precautions of Fent

Answer 6

Reduced dosage- Elderly/small people 
Hypotension
Respiratory Tract Burns
Respiratory depression or failure 
Addiction to narcotics 
Current MAOI therapy

Question 7

Side effects of Fent:

Answer 7

Bradycardia 
Drowsiness 
Hypotension 
Nausea/ vomiting 
pin point pupils 
Respiratory depression
Muscle rigidity

Question 8

Presentation of Fent

Answer 8

100mcg/2ml

Question 9

Onset, Duration and Half life of Fent.

Answer 9

<3 min, 30-60 mins, 2-3 hours

Question 10

Routes of Administration for Fent.

Answer 10

NAS/SUBCUT/IM/IV/IO

Question 11

Dosage of Fent

Answer 11

25mcg-50mcg max dose 200mcg or MME