Fentanyl Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

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Fentanyl

Generic Name: fentanyl

Trade Name: Sublimaze

Indication: supplement to general anesthesia, continuous IV infusion for purpose of analgesia

Action: binds to opiate receptors in CNS altering perception of pain, producing CNS depression

Therapeutic Class: Opioid

Analgesic Pharmacologic :Class opioid agonists

Nursing Considerations
 use caution with increased ICP, head trauma, adrenal insufficiency
 avoid use with MAOIs
 may cause apnea, laryngospasm, decreased respirations, bradycardia, hypotension
 do not consume grapefruit while taking this medication
 monitor hemodynamics during administration
 assess patient pain scale frequently

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