Fentanyl Citrate

Question 1

Other name

Answer 1

Sublimaze

Question 2

Class

Answer 2

Narcotic (opiod) agonist (schedule II)

Question 3

Actions

Answer 3

Reduces the brainstem’s responsiveness to CO2 and depressess pontine and medullary respiratory centers that regulate respiratory rhythmicity, causing respiratory depression.
CNS depressant that binds to opiate receptors causing analgesia and euphoria.

Question 4

Indications

Answer 4

Pain.
Isolated extremity fractures.
Maintainance of analgesia and as an adjunct to RSI.

Question 5

Contraindications

Answer 5

Increased ICP.
Respiratory depression.
Severe hepatic / renal impairment.
hypotension
hypersensativity

Question 6

Side effects

Answer 6

Respiratory depression.
Hypotension.
Bradycardia.
AMS.
N/V.
Dizziness

Question 7

Precautions

Answer 7

Use with caution in patients with traumatic brain injury.
Risk of increasing chest wall rigidity and respiratory depression, so use the SPO2.
Narcan fixes both of these side effects.