Sublimaze

Question 1

Name ( sublimaze )

Answer 1

Sublimaze, Fentanyl CITRATE

Question 2

Class ( sublimaze )

Answer 2

opioid analgesic, schedule II drug

Question 3

Indication ( sublimaze )

Answer 3

Pain management, anesthetic adjunct , severe respiratory distress (palliative care )

Question 4

MOA ( sublimaze )

Answer 4

Binds to opioid receptor’s
Producing analgesia , respiratory depression and sedation

Question 5

Side effects ( sublimaze )

Answer 5

Confusion, hypoventilation , paradoxical excitement , CNS respiratory depression, sedation, delirium, apnea , dysthymia syncopal episodes fatigue . Nausea vomiting.

Question 6

Contraindications ( sublimaze )

Answer 6

Hyper sensitivity , known MAOI during previous 14 days, pts with GCS UNDER 15, hypotension

Question 7

Dose ( sublimaze )

Answer 7

Moderate discomfort 1 mcg/kg IM IN initial dose of 100 mcg max 200 mcg

Severe excruciating discomfort
1 mcg/kg IV IO. Initials dose of 100-200 mcg

Ped dose 1 mcg/kg IM IN max initial dose of 100 mcg max initialdose of 100. 200 mcg max

Respiratory depressions 25 mcg mixed in 2 mL saline nebulized

Question 8

Drug interaction ( sublimate )

Answer 8

CNS depressants

Question 9

Special considerations ( sublimate )

Answer 9

Pregnancy class C

Question 10

Duration ( sublimate )

Answer 10

Onset IMMEDIATE
Peak: 3-5 mins
Duration: Last up to 60 mins
(30-60 mins)