Page 315 - ATP-P 11th Ed

• Crush Injury Protocol
• Flank Pain (Renal Colic, Pyelonephritis, Kidney Stone) Protocol
• Joint Infection Protocol
• K9 Trauma Management Protocol
• Meningitis Protocol
• Sepsis/Septic Shock Protocol

Fentanyl
GROUNDING medication for personnel on flight status
Description: Opioid analgesic; anesthesia adjunct.
Indications: Severe battlefield related trauma pain and hemorrhagic shock resuscitation
Dose: 25–50mcg IV/IO/IN/IM
Contraindications:
• Known allergy to medication
• Head injury
Pregnancy Category C
Treatment of overdose: SECTION 3
• Ventilatory support
• Intravenous access
• Narcan (naloxone) or another opioid antagonist may be warranted in some instances, but
it is associated with the risk of precipitating an acute withdrawal syndrome.
Side-effects: The most serious adverse effects associated with all opioids are:
• Respiratory depression (potentially leading to apnea or respiratory arrest)
• Circulatory depression/bradycardia
• Nausea/vomiting
• Chest wall and skeletal muscle rigidity (high or rapid IV dose)
• Hypotension
• Shock
• All patients should be followed for symptoms of respiratory depression.
TMEP use:
• Pain Management Protocol
• TCCC/TTP
Fentanyl (Actiq ) – See Oral Fentanyl
®
Flagyl – See Metronidazole
®
Fluroquinolones – See Quinolones, Moxifloxacin, Gatifloxacin, Levofloxacin

ATP-P Handbook 11th Edition 305