Fentanyl

Question 1

What type of drug is fentanyl?

Answer 1

A fast acting synthetic narcotic analgesia

Question 2

What is the action of fentanyl?

Answer 2

Acts on the CNS by binding to opioid receptors

Question 3

What are the two indications for fentanyl?

Answer 3

1. Moderate to severe pain

2. Safe analgesic to those with anaphylactic reactions to morphine

Question 4

What are the 5 adverse effects of fentanyl?

Answer 4

1. CNS depression
2. Respiratory depression
3. Nausea/vomiting
4. Occasionally - bradycardia
5. Rigidity of the diaphragm, intercostals and jaw (rare)

Question 5

What are the 4 contraindications for fentanyl?

Answer 5

1. KSAR
2. Bleeding or bilateral occluded nostrils
3. ALOC
4. <1 year

Question 6

What is the dose and repeat dose for fentanyl for 1-5 years (<20kg)

Answer 6

25 mcg repeat 25mcg every 10 mins as required

Question 7

What is the dose of fentanyl for 5-12 years (20-40kg)

Answer 7

50mcg repeat 50mcg every 10 mins as required

Question 8

Fentanyl dose for small adult (40-70kg)

Answer 8

100mcg repeat 50mcg as required

Question 9

Dose of fentanyl for 12+ to adult years ( over 70kg)

Answer 9

200mcg repeat 50mcg as required

Question 10

What are the 5 special notes with IN fentanyl?

Answer 10

1. Alternate nostrils per spray
2. Doses of morph should be given at 1/2 dose following fentanyl
3. Fentanyl should not be administered after an APS max do 20mg morphine
4. Antiemetics should only be administered if the pt has nausea or vomiting prior or post fentanyl
5. Intranasal fentanyl should NEVER be administered IV