Fentanyl

Question 1

Drug class of fentanyl:

Answer 1

Narcotic analgesic

Question 2

Pharmacology of fentanyl

Answer 2

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

Question 3

Presentation of fentanyl

Answer 3

100microgs/2ml, ampoule

Question 4

Indications of fentanyl

Answer 4

• Significant pain.
• Autonomic dyslexia (systolic >160)
• sedation.
• for rapid intubation.

Question 5

Contraindications/ precautions of fentanyl

Answer 5

C- Allergy/ ADR.

P- reduced dosage in low body weight or frail people.
Hypotension.
Respiratory tract burns.
Respiratory depression / failure.
Known addiction.

Question 6

Side effects of fentanyl

Answer 6

• drowsiness.
• pin point pupils.
• bradycardia.
• hypotension.
• nausea / vomiting.
• Respiratory depression.
• muscular ridgity.

Question 7

Dosages for fentanyl.

Answer 7

Significant pain:
IM/IV/NAS:
> 70 = 25-50microg, every 10 mins, max dose 100microgs.
< 70 = 50-100microgs every 10 mins, max dose 200microgs.