Fentanyl (Sublimaze) Class
Narcotic Analgesic
Fentanyl (Sublimaze) Actions
1. CNS Depressant2. Decreased sensitivity to pain3. Similar in action to other narcotics: Morphine, Nubain, Methadone, Etc
Fentanyl (Sublimaze) Indications
1. Acute Pain2. Induction agent for RSI
Fentanyl (Sublimaze) Contraindications
1. Severe hemorrage2. Shock3. Known allergy
Fentanyl (Sublimaze) Precautions
1. All bradycardias- counteragent: atropine2. counteragent in respiratory depression: Narcan3. Use with caution in patient's with liver/kidney malfunction
Fentanyl (Sublimaze) Side Effects
1. Respiratory depression / apnea2. Muscle rigidity3. Bradycardia
Fentanyl (Sublimaze) Dosage
1mcg/kgSlow IV push over 2-3 minutes repeat PRN(NOTE: rapid administratino of Fentanyl may result in extreme rigidity of the chest known as wooden chest severely impeeding respirations)
Fentanyl (Sublimaze) Route
IV
Fentanyl (Sublimaze) How Supplied
Ampule: 100 mcg / 2ml (50mcg per mL)
Fentanyl (Sublimaze) Pediatric Dosage
1 mcg / kgSlow IV push over 2-3 minutes repeat prn