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Paramedic Drug Administration fentanyl citrate

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14 Questions

What is the mechanism of action of fentanyl citrate?

Alleviates pain by depressing the central nervous system, Depresses respiratory centers in the brainstem, Decreases venous return to the heart, Decreases preload, Decreases afterload

Which condition is a contraindication for the use of fentanyl citrate?

Known hypersensitivity to the drug, Head injury, Decreased level of consciousness, Respiratory depression, Hemodynamically significant hypotension

What is the adult dosage for fentanyl citrate?

25 to 50 mcg, up to 200 mcg

What is the duration of the drug fentanyl citrate?

30 to 60 minutes

What is the onset of action for fentanyl citrate when administered?

1 to 3 minutes

Which adverse reaction/side effect is associated with fentanyl citrate?

Central nervous system depression, Respiratory depression, Respiratory arrest, Hypotension, Bradycardia, Tachycardia, Dysrhythmias, Syncope, Dyspnea, Nausea, Vomiting

How does fentanyl citrates’ analgesic potency compare to morphine?

100 mcg of fentanyl is equivalent to 10 mg of morphine

What is the pediatric dosage for fentanyl citrate?

1.0 to 2.0 mcg/kg, Maximum dosage 50 mcg

What is the route of administration for fentanyl citrate?

Intravenous, IO, IM

What is the standard supply type for fentanyl citrate?

Ampule, Vial

What is the peak effect of fentanyl citrate?

3 to 5 minutes

What is the trade name for fentanyl citrate?

Duragesic, Sublimaze

What are the classes of fentanyl citrate?

Narcotic agonist, narcotic analgesic

What are the indications for fentanyl citrate?

Pain management

Study Notes

  • Fentanyl is a potent narcotic analgesic used for pain management.
  • It works by depressing the central nervous system, respiratory centers in the brainstem, and reducing venous return to the heart.
  • Common adverse effects include respiratory depression, hypotension, bradycardia, tachycardia, and nausea.
  • Fentanyl is administered through intravenous, intraosseous, or intramuscular routes with an onset of action within 1 to 3 minutes.
  • Adult dosages range from 25 to 50 mcg, with a maximum dosage of 200 mcg, while pediatric dosages are 1.0 to 2.0 mcg/kg with a maximum of 50 mcg.

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