Fentanyl Drug Information PDF

Summary

This document provides information about fentanyl, including its mechanisms of action, indications, contraindications, and dosages. It details the adverse effects and routes of administration for fentanyl, along with special considerations.

Full Transcript

GENERIC NAME fentanyl TRADE, BRAND, OR PROPRIETARY NAMES • Duragesic® • Sublimaze® CLASSES • Narcotic analgesic • Narcotic agonist STANDARD SUPPLIES • Ampule • Vial MECHANISMS OF ACTION • Alleviates pain by depressing the central nervous system • Depresses respiratory centers in the brainstem • De...

GENERIC NAME fentanyl TRADE, BRAND, OR PROPRIETARY NAMES • Duragesic® • Sublimaze® CLASSES • Narcotic analgesic • Narcotic agonist STANDARD SUPPLIES • Ampule • Vial MECHANISMS OF ACTION • Alleviates pain by depressing the central nervous system • Depresses respiratory centers in the brainstem • Decreases venous return to the heart • Decreases preload • Decreases afterload INDICATION • Pain management CONTRAINDICATIONS • Known hypersensitivity to the drug • Head injury • Decreased level of consciousness • Respiratory depression • Hemodynamically significant hypotension FENTANYL 1 ADVERSE REACTIONS/SIDE EFFECTS • Central nervous system depression • Respiratory depression • Respiratory arrest • Hypotension • Bradycardia • Tachycardia • Dysrhythmias • Syncope • Dyspnea • Nausea • Vomiting ROUTES OF ADMINISTRATION • IV • IO • IM ONSET OF ACTION • 1 to 3 minutes ADULT DOSAGES • 25 to 50 mcg • Maximum dosage 200 mcg PEDIATRIC DOSAGES • 1.0 to 2.0 mcg/kg • Maximum dosage 50 mcg SPECIAL CONSIDERATIONS • Peak effect of the drug is 3 to 5 minutes • Duration of the drug is 30 to 60 minutes • Fentanyl 100 mcg is equivalent in analgesia to morphine10 mg FENTANYL 2

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