Fentanyl
Max concentration : Undiluted (50 ug/ml)
Solution: NSS, D5W
Dosing instruction: Bolus Dose 0.35-0.5 ug/kg (50-100 ug V bolus)
Infusion rate: 5 - 10 ug/kg/h (25-500 ug/h)
Titrate dose by 25 ug/h q 30 mins to achieve desired effect
if use with sedatives titrate to a RASS score of 0 to -2
Body Weight
kg.
Fentanyl 200ug/100ml (2 ug/ml)
Rate (ml/hr)
Dose (ug/kg/h)
Fentanyl 100ug/100ml (1 ug/ml)
Rate (ml/hr)
Richmond Agitation-Sedation Scale (RASS)
RASS score
RASS scoring and interpretation should be based on the sedation protocol being used. For minimal sedation protocols (RASS -2 to 0), sedation should be modified or decreased for a RASS score of -3 or less.
+4 Combative, violent, danger to staff
+3 Pulls or removes tube(s) or catheters; aggressive
+2 Frequent non-purposeful movement, fights ventilator
+1 Anxious, apprehensive, but not aggressive
0 Alert and calm
-1 Awakens to voice (eye opening/contact) > 10 seconds
-2 Light sedation; briefly awakens to voice (eye opening/contant) < 10 seconds
-3 Moderate sedation; movement or eye opening. No eye contact
-4 Deep sedation; no response to voice, but movement or eye opening to physical stimulation
-5 Unarousable; no response to voice or physical stimulation
Voice