Fentanyl

Question 1

Fentanyl : Introduction

Answer 1

A short acting synthetic narcotic analgesic.

Question 2

Fentanyl: Indication

Answer 2

1) Moderate to severe pain

2) Acute Coronary Syndrome where GTN has been ineffective.

Question 3

Fentanyl: Contraindications

Answer 3

1) Hypersensitivity
2) Age <1 (IV/IO)
3) Occluded nasal passage (IN)

Question 4

Fentanyl: Considerations

Answer 4

NARCD

1) Nausea/vomiting
2) Adopt a low threshold to engage with the ED team if pain remains difficult to control
3) Respiratory depression, monitor O2 for all patients having fentanyl
4) Cardiovascular effects - bradycardia, hypotension
5) Drowsiness