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Galveston College Associated Degree Nursing Program
DRUG CARD
Name: Olivia Allen
Date:
Reference: Skidmore. Mosby’s 2021 Nursing Drug Reference, 34th Ed. 2021.
Classification of Drug: Opioid Analgesic
Generic Name: FentaNYL
Pregnancy Category: contraindicated
Trade Name: Sublimaze
Recommended Dosage and Method of Administration:
PostoperativelyAdult:IM/IV 50-100mcg q1-2hr prn
Peds: IV 2-3 mcg/kg
Physiological Action: inhibits ascending pain pathways in the CNS, Increasing pain threshold, alters pain
perception by binding to opiate receptors.
Onset of action: IM 7-15min IV 1min
Peak Action: IM 30min IV 3-5min
Duration of action IM 1-2hr IV1/2-1hr
Therapeutic Effect: Controls Moderate to Severe Pain
Excretion: Kidneys, Crosses Placenta, Breastmilk.
Major Side Effects & Toxic Reactions:
Dizziness, Delirium, Euphoria, Sedation, Confusion, Weakness, Dizziness, Seizures
Nursing Implications & Contraindications:
Nursing implications:
Assess the blood lab tests monthly, the risk for toxicity, Elimination, Nutrition, iron loss.
Contraindications:
Hypersensitivity to opiates, Myasthenia gravis
Geriatric Considerations:
Avoid in Older Adults, may cause Ataxia or impaired psychomotor function
Patient Teaching:
Physical Dependence, not to use with alcohol.
Antagonist: none
Patient
Initials
Age
Diagnosis
Dose
MG
57
Cervical
25mcg
Radiculopath
y
Route
Frequency
Times
Purpose and Therapeutic
Effect of Drug for This
Patient
IV
push
Q6hr
prn
Controlling Pain
Postoperatively