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fentanyl has a pka of 8.4 and is 91% ionized at a ph of 7.4. alfentanil has a pka of 6.5 and is 11% ionized at a ph of 7.4, and also has a lower volume of distribution than fentanyl. i believe alfentanil is more lipophillic but don't quote me on that. if a patient is in metabolic acidosis say ph of 7.0 wouldn't the alfentanil become even more unionizedthanks,
first thought? with a ph of 7.0, selection of narcotics wouldn't be my biggest concern.
soliant12
218 Posts
fentanyl has a pka of 8.4 and is 91% ionized at a ph of 7.4. alfentanil has a pka of 6.5 and is 11% ionized at a ph of 7.4, and also has a lower volume of distribution than fentanyl. i believe alfentanil is more lipophillic but don't quote me on that. if a patient is in metabolic acidosis say ph of 7.0 wouldn't the alfentanil become even more unionized
thanks,