Fentanyl Citrate (Sublimaze)

Question 1

Classification

Answer 1

Narcotic analgesic

Question 2

Mechanism of Action

Answer 2

• Binds to opiate receptors producing analgesia & euphoria

Question 3

Indications

Answer 3

• Severe pain
• Adjunct to rapid-sequence induction/sedation
• Maintenance of analgesia

Question 4

Contraindications

Answer 4

• Known sensitivity
• Use with caution in traumatic brain injury or respiratory depression

Question 5

Adverse Effects

Answer 5

• Respiratory depression, apnea
• Hypo/hypertension
• Nausea, vomiting, dizziness
• Sedation, euphoria
• Sinus brady/tachy, palpitations
• Diaphoresis, syncope

Question 6

Administration

Answer 6

• Adult: 25-100 mcg/dose IM/IN or slow IV/IO
• Pediatrics: 1-2 mcg/kg IM or slow IV/IO