Fentanyl
ADULT:
Moderate to severe pain, See indications below:
50 mcg IV / IM (1 mL), may repeat once in 3 min. for continued pain. (Concentration comes in 100 mcg/2 mL)
100 mcg IN (1 mL each nostril), may repeat once in 3 min. for continued pain
PEDS:
Moderate to severe pain, See indications below (BHC for < 2y/o):
2 mcg/kg IV / IM / IN may repeat once after 3 min., (Max total dose 100 mcg total)
**When administering IM with carpuject discard 50 mcg (1 mL) prior to admin. to prevent overdose**
INDICATIONS:
- Moderate to severe pain (≥ 5)
- Burns - SO
- Isolated extremity trauma -SO
- Amputation/De-gloving- SO
- Snake Bites – SO
- Eye injury – SO
- Impaled objects - SO
- Chest pain of cardiac origin - SO (IV only)
- Kidney stones, abdominal pain, flank pain - SO
- Back pain - BHO
- Head trauma - BHO
- Acute Pulmonary Edema / CHF - BHO
CONTRAINDICATIONS:
- Head trauma
- Hypovolemia
- BP < 90 systolic for Adults
- Multi-system trauma
- Use caution with Versed or Morphine BHO
- Known allergy or intolerance
- BP < 80 systolic for PEDS
COMMENTS:
- Can cause respiratory depression, dizziness, or muscle rigidity.
***Can use Narcan to reverse respiratory depression***