Onset
1-2min
Classification
Opioid Analgesic
Duration
30 min to 1 hour
Indications
Pain control
Sedation for RSI
Contraindications
Respiratory depression Hypotension Head injury Cardiac dysrhythmias Myasthenia Gravis Hypersensitivity to opiates
Adverse Reactions
Respiratory depression Bradycardia Hypotension or hypertension N/V Chest wall muscle rigidity
How supplied
0.05-0.1 mg/mL ampules
Administration
PAIN
0.05-0.1mg slow (1-2min) IVP
MR every hour prn to control pain
RSI
2-5mcg/kg IVP/IO
Administration
PEDS
1-2mcg/kg
Rarely used
What category for pregnancy
Category C
What schedule?
Schedule II
What patients should be used with caution(if at all)?
Elderly Severe respiratory disorders Seizure disorders Cardiac disorders Pregnancy
What drug should be available while administering?
Naloxone to reverse possible respiratory depression