Fentanyl

 

INDICATIONS:

 

  • AMI
  • Severe pain in selective situations

 

ADMINISTRATION:    IV, IM, IO

 

DOSAGE:

 

  • ADULT:

 

    • 1 mcg/kg IV/IO/IM up to 100 mcg. May repeat once in 5 minutes. Max Dose = 200 mcg.

 

PEDIATRIC:

 

  • Age ≥ 5 years old.

 

  • 1 mcg/kg IV/IO/IM up to 50 mcg. May repeat once in 5 minutes. Max Dose = 100 mcg

 

  • Direct Medical Control Order for ages ≤ 5 years of age.

 

THERAPEUTIC EFFECTS:

 

  • CNS depressant
  • Binds to various opiate receptors for producing analgesia and sedation
  • Decreases sensitivity to pain

 

 RELATIVE CONTRAINDICATIONS:

 

  • Severe Head Injury
  • Asthma and End-Stage Lung Disease
  • Respiratory Depression
  • Untreated Hypotension

 

SIDE EFFECTS:

 

  • Respiratory depression
  • Hypotension
  • Bradycardia
  • Nausea
  • Vomiting
  • Drowsiness

 

 SPECIAL NOTES / RESTRICTIONS:

 

  •  **Direct Medical Control Order for ages ≤ 5 years old**