P612
- For children 5-15 y.o with extremity injury or burn
Administer a single dose of either:
- Fentanyl 1 mcg/kg IV/IO (max 50 mcg for pain) – administer over 3-5 minutes slow IV push to prevent rigid chest
- Fentanyl 2 mcg/kg intranasal (max 100 mcg for pain) – use the undiluted injectable fentanyl product (100 mcg/2 ml), draw up an extra 0.1 ml of drug solution to prime the atomizer and administer a max of 1 ml per nostril (if giving to larger kid and need to use 100 mcg, you should use the same atomizer for both nostrils)
- Morphine sulfate 0.1 mg/kg IV/IO or IM (maximum dose 5 mg)
- If patient experiences a drop in systolic blood pressure to < (2x age in years) + 70, give 20 ml/kg 0.9% NaCl IV push
- If patient has an allergy to opioids and/or pain not relieved or for subsequent doses, contact medical control