fentanyl.txt

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Author:
Anonymous
ID:
76996
Filename:
fentanyl.txt
Updated:
2011-04-03 14:51:32
Tags:
paramedic medications drugs prehospital fentanyl
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Fentanyl Citrate

    Trade Name
    • Sublimaze
    • Actiq
    • Durogesic
    • Duragesic
    • Fentora
    • Onsolis
    • Instanyl
    • Abstral
  2. Fentanyl Citrate

    Class
    Narcotic Analgesic, Schedule II
  3. Fentanyl Citrate

    Mechanism of Action
    Fentanylcitrate is a narcotic analgesic. A dose of 100mcg (0.1mg) (2mL) is approximately equivalent in analgesic activity to 10mg of morphine or 75mg of meperidine
  4. Fentanyl Citrate

    Indications
    • Analgesia
    • Adjunct to Cardioversion & Pacing
    • Management of ACS
    • General Pain Management (Adult/Pedi)
    • Burn/Inhalation Injuries
    • Hypertensive Emergencies
  5. Fentanyl Citrate

    Contraindications
    FentanylCitrate Injection is contraindicated in patients with known intolerance to the drug
  6. Fentanyl Citrate

    Adverse Reactions
    • Respiratory depression -> Apnea -> Cardiac Arrest
    • Rigidity
    • Bradycardia
    • Hypertension/Hypotension
    • Dizziness/Blurred vision
    • Nausea/Vomiting
    • Laryngospasm
    • Diaphoresis
  7. Fentanyl Citrate

    Drug Interactions
    • Do not use if MAOI has been used within the past 14 days
    • Examples include:
    • isocarboxazid (Marplan)
    • phenelzine (Nardil)
    • rasagiline (Azilect)
    • selegiline (Eldepryl, Emsam)
    • tranylcypromine (Parnate)
  8. Fentanyl Citrate

    How Supplied
    • 100 mcg/2ml
    • 10 mL & 20 mL Dosette ampules
    • 30 mL & 50 mL Single Dose vials
  9. Fentanyl Citrate

    Dosage and Administration
    Adult
    1 mcg/kg to max 150 mcg slow IV push
  10. Fentanyl Citrate

    Dosage and Administration
    Pediatric
    • 1 mcg/kg to max 150 mcg slow IV push
    • (The safety and efficacy of fentanylcitrate in pediatric patients under two years of age has not been established)
  11. Fentanyl Citrate

    Duration of Action
    • Onset: immediate
    • Peak effect: 5 to 15 minutes
    • Duration: 30 to 60
  12. Fentanyl Citrate

    Special Considerations
    Pregnancy safety: Category C

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