PARAMEDIC DRUGS: FENTANYL EXAM QUESTIONS AND ANSWERS 100% CORRECT!!!

Fentanyl: Mechanism of Action - ANSWER Provides analgesia and sedation by acting on the opiate receptors in the brain, blocking sensation of pain Compared to morphine, fentanyl has less emetic activity, less histamine release, higher potency, and impacts cardiac stability less 100 mcg = 10 mg Morphine A respiratory depressant Narcan does antagonize, but requires higher doses Fentanyl: Indications - ANSWER - Analgesic action of short duration - Pain secondary to trauma - Crush injuries - Burn patients - Musculoskeletal pain - Abdominal pain Fentanyl: Contraindications - ANSWER - Hypovolemia (uncorrected) - Hypotension - Head injury - Hypersensitivity Fentanyl: Dosage - ANSWER 1-2 mcg/kg slow IV push, or IM/IN Repeat once after 5 minutes if necessary F