Paramedic Drug Administration fentanyl citrate

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Questions and Answers

What is the mechanism of action of fentanyl citrate?

Destroys the central nervous system, increases the heart rate, increases myocardial contractility, causes vasoconstriction

Blocks H1 histamine receptors, reverses a phenothiazine reaction with extrapyramidal symptoms

Alleviates pain by depressing the central nervous system and inhibits ascending pain pathways, thus altering response to pain, increases the pain threshold, depresses respiratory centers in the brainstem, decreases venous return to the heart, decreases preload, decreases afterload, produces analgesia and sedation (correct)

Produces stimulation of the central nervous system, produces temporary paralysis

Which condition are the absolute contraindication for the use of fentanyl citrate?

Oxygen saturation less than 90% or significant respiratory depression. (correct)

Head injury due to TBI, wide complex atrioventricular block

Digoxin (Lanoxin®) toxicity, diabetes, hypoglycemia

Ventricular tachycardia, second-degree and third-degree heart block, Wolff-Parkinson-White (WPW) syndrome

What is the adult and pediatric dosage for fentanyl citrate for pain management?

1 mcg/kg/dose, max initial dose 100 mcg, max total dose 200 mcg (correct)

100 to 200 mcg max initial dose 20mcg, max total dose 100 mcg

250 to 500 mcg max initial dose 50mcg, max total dose 150 mcg

5 to 10 mcg max initial dose 10mcg, max total dose 200 mcg.

What is the duration of the drug fentanyl citrate?

30 to 60 minutes Signup and view all the answers

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

Immediate Signup and view all the answers

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 Signup and view all the answers

How does fentanyl citrates’ analgesic potency compare to morphine?

100 mcg of fentanyl is equivalent to 10 mg of morphine Signup and view all the answers

What is the route of administration for fentanyl citrate?

Intravenous, IO, IN Signup and view all the answers

What is the standard supply type for fentanyl citrate?

Vial Signup and view all the answers

What is the peak effect of fentanyl citrate?

3 to 5 minutes Signup and view all the answers

What is the trade name for fentanyl citrate?

Duragesic, Sublimaze Signup and view all the answers

What are the classes of fentanyl citrate?

Opioid agonist, opioid analgesic Signup and view all the answers

What are the indications for fentanyl citrate?

Management of severe pain of any etiology. Signup and view all the answers

What is the adult dosage of fentanyl for acute coronary syndromes?

0.5 mcg/kg/dose IN/IV/IO, max total dose 200 mcg Signup and view all the answers

What is the fentanyl dose for pharmacological management during synchronized cardioversion?

1 mcg/kg/dose IN/IV/IO, max initial dose 100 mcg, max total dose 200 mcg. Signup and view all the answers

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.