Fentanyl (sublimaze)

Question 1

Fentanyl classification

Answer 1

Narcotic analgesic

Question 2

Fentanyl action

Answer 2

Analgesic, sedative

Question 3

Fentanyl onset and duration

Answer 3

1. IV 1 min, IM 7-8 min

2. IV 30-60 min, IM 1-2 hrs

Question 4

Fentanyl Indication

Answer 4

1. Severe pain

2. Acute low back pain

Question 5

Fentanyl contraindication

Answer 5

1. Head trauma w/ ICP
2. ALOC
3. Sever liver or renal disease

Question 6

Fentanyl precautions

Answer 6

1. Bradycardia

2. Respiratory depression

Question 7

Fentanyl Dosage and administration

Answer 7

1. Adults:
   a. Trauma: 50mcg IV/IO or 50-100mcg IN, every 5-10 min to max dose of 200mcg if BP>100
   b. Cardiac: 25mcg IV/IO or 50mcg IN every 2-3 min to max dose 100mcg if BP>100
2. Pediatrics:
   1-2mcg/kg IV/IO/IN/IM

Question 8

Fentanyl Adverse Reaction

Answer 8

Hypotension, bradycardia, CNS depression, Respiratory depression, chest wall rigidity, N/V,

Question 9

Fentanyl Reference in Protocol

Answer 9

Trauma

Cardiac