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)