-
-
Fentanyl
Actions
- Central nervous system depressant
- Decreases sensitivity to pain
-
Fentanyl
Indications
- Severe Pain
- Adjunct to rapid-sequence induction
- Maintenance of analgesia
-
Fentanyl
Contraindications
- Shock
- Severe hemorrhage
- Hypersensitivity to medication
-
Fentanyl
Precautions
- Respiratory depression (naloxone should be available)
- Hypotension
- Nausea
-
Fentanyl
Side effects
- Dizziness
- Altersd level of consciousness
- Bradycardia
-
Fentanyl
Dosage
25-100 mcg
-
-
Fentanyl
Ped Dose
2-12 years 1-2 mcg/kg/dose
-
-
Morphine
Actions
- CNS depressant
- Causes peripheral vasodilation
- Decreases sensitivity to pain
-
Morphine
Indications
Severe pain
-
Morphine
Contraindications
- Head injury
- Volume depletion
- Undiagnosed abdominal pain
- Hypersensitivity to med
-
Morphine
Precautions
- Respiratory Depression ( naloxone should be available)
- Hypotension
- Nausea
-
Morphine
Side effects
- Dizziness
- Altered level of consciousness
-
Morphine
Dosage
- IV: 2-5 mg followed by 2 mg every few minutes until the pain is relieved or until respiratory depression ensues
- IM: 5-15 mg based on patient's weight
-
-
Morphine
Ped Dose
0.1-0.2 mg/kg IV
-
Narcan ( Naloxone )
Class
Narcotic antagonist
-
Narcan ( Naloxone )
Action
Reverses effects of narcotics
-
Narcan ( Naloxone )
Indications
- Narcotic overdoses including the following: morphine, hydromorphine, fentanyl, demerol, paregoric, methadone, heroin, hydrocodone, oxycodone
- Synthetic analgesic overdoses including the following: Nubain, stadol, talwin, darvon
- To rule out narcotics in coma of unknown origin
-
Narcan ( Naloxone )
Contraindication
Hypersensitivity to med
-
Narcan ( Naloxone )
Precautions
- May cause withdrawal effects in patients dependent on narcotics
- Short acting: should be augmented every 5 minutes
- Should never be used as part of a " coma cocktail "
-
Narcan ( Naloxone )
Side effects
Rare
-
Narcan ( Naloxone )
Dosage
1-2 mg
-
Narcan ( Naloxone )
Routes
- IV
- IM
- endotracheal ( dose 2-2.5 times IV Dose)
-
Narcan ( Naloxone )
Ped Dosage
- < 5 y/o: 0.1 mg/kg
- > 5 y/o: 2.0 mg
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