Fentanyl



 
Options
Vote
Comments

Fentanyl - Basic Information

 

Indication of Fentanyl:

Fentanyl is used in the treatment of acute pain and to depress breathing in patients being ventilated It may also be given as an infusion under the skin in palliative care patients who have intolerable side effects from morphine.

Action of Fentanyl:

Fentanyl is an opioid medication. Opioids act on opioid receptors in the nervous system to reduce the sensation of pain. As well as relieving pain, Fentanyl also decreases breathing and causes constipation.

Dose Advice of Fentanyl:

Dosing for anaesthesia: Doses will vary with the age and clinical condition of the patient.Adults: Spontaneous ventilation: 50-100 micrograms intravenously, then 25-50 micrograms as required Assisted ventilation: 50 micrograms - 35 mg intravenously, then 50-200 micrograms as required Children: Spontaneous ventilation: 2-5 micrograms/kg intravenously, then 1 microgram/kg as required Assisted ventilation: 2-5 micrograms/kg intravenously, then 1-3 micrograms/kg as required For longer surgical procedures an initial dose of 10-20 micrograms/kg intravenously should be used Patient-controlled analgesia: 0.5-15 micrograms/kg/hour given as an intravenous infusion however this dose may vary depending on hospital protocols.

Schedule of Fentanyl:

S8

Common side effects of Fentanyl:

RashNausea and vomiting: Fentanyl may produce less nausea, vomiting and constipation than other opioid medications.DrowsinessDry mouthDizziness and light-headedness when moving form a lying to standing position.Difficulty urinatingConstipation with prolonged useConstriction of pupils

Uncommon side effects of Fentanyl:

Rigid chest wall can occur with very high dosesDecreased breathing ConfusionHallucinationsHivesItchingHypothermiaSlowing or speeding up of the heart rateAbdominal painRigid musclesFlushing

Diseases treated by Fentanyl:

Cancer pain

Symptoms associated with Fentanyl:

Pain Pain Breathlessness in cancer

Treatments associated with Fentanyl:

Control of Pain in Children (Paediatric Pain Management) (Paediatric Pain Management) Opioids for analgesia (Opioids for analgesia)


GN: Fentanyl citrate

Con: hives

Cla: Control of Pain in Children (Paediatric Pain...