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Fentanyl Citrate

GENERIC NAME

Fentanyl Citrate

TRADE NAME

Fentanyl

DESCRIPTION

Fentanyl is a potent narcotic analgesic used for pain management. It acts quickly and has a short duration of action, making it suitable for trauma patients experiencing pain.

HOW SUPPLIED

Prefilled Syringe: 100 mcg/2 ml

INDICATIONS

  • All trauma patients with pain

CONTRAINDICATIONS

  • Allergy or hypersensitivity to Fentanyl
  • Acute respiratory compromise or bradycardia

MECHANISM OF ACTION

Fentanyl Citrate binds with opiate receptors in the central nervous system, altering the perception of and emotional response to pain.

SIDE EFFECTS

  • Nausea
  • Vomiting
  • Abdominal cramps
  • Headache
  • Anxiety
  • Respiratory depression

AUTHORIZATION

EMT: Not authorized

AEMT: Not authorized

Paramedic: Standing order

DOSAGE

  • Adult:
    • IV/IO/IM: 100 mcg, may repeat once after 10 minutes (max 200 mcg total)
    • IN: 200 mcg (administer half in each nostril), may repeat once after 10 minutes (max 400 mcg total)
    • For patients ≥ 65 years: 25 mcg per dose, titrate to effect
  • Pediatric:
    • IV/IO/IM: 1 mcg/kg, may repeat once after 10 minutes (max 72 mcg total)
    • IN: 2 mcg/kg (administer half in each nostril), may repeat once after 10 minutes (max 144 mcg total)
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