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18 Cards in this Set
- Front
- Back
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Narcan (_________)
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Naloxone Hydrochloride
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Narcan Class
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Opioid Antagonist
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Narcan Action
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- Reverses respiratory depression, sedation and hypotensive effects of opioid overdose by occupying opiate receptor sites
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Narcan Onset
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- IV 1-2 min
- IM 2-5 min |
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Narcan Duration
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- IV 30-60 min
- IM longer |
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Narcan Indication #1
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Symptomatic suspected opioid OD excluding opioid dependent pain management patients
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Narcan Dosage/Route for Indication #1
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ADULT: with RR < 12
- 2 mg IVP/direct IVP/IM; MR. titrate IV dose to effect - If patient refuses transport: give additional 2 mg IM PEDS: - PDC IVP/direct IVP/IM; MR |
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Narcan Indictation #2
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Suspected symptomatic opioid OD in opioid dependent pain management patients
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Narcan Dosage/Route for Indication #2
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ADULT: with RR < 12
- 0.1 mg increments titrate up to 2 mg IVP/direct IVP OR 1-2 mg IM. MR BHO PEDS: - PDC IVP/direct IVP OR IM. Titrate IV dose to effect. MR BHO |
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Narcan Contraindications
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None
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Narcan Side Effects
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- Acute withdraw symptoms
- Nausea / vomiting - Tachycardia / hypertension |
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Narcan Concentration
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1 mg / 1 mL
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Narcan Special Information #1
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For titrated dosing; ADULT: dilute IV dose (2 mg) to 10 mL with NS (new concentration = 0.1 mg / 0.5 ml) PEDIATRIC: dilute 1 mg to 10 ml with NS (new concentration = 0.1 mg / 1 ml)
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Narcan Special Information #2
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Duration of Narcan is generally less than opioid, watch for relapse as long as opioid is still in the patients system.
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Narcan Special Information #3
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Narcan can precipitate withdrawal syndrome and/or combative behavior.
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Narcan Special Information #4
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For respiratory distress in an OD; Use Narcan before insertion of ET. Manage airway with BLS.
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Narcan Special Information #5
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Assessing effectiveness of Narcan:
- changes in LOC, respiratory status, O2 saturation and pupil response. |
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Narcan Special Information #6
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Effective against:
- Codeine - Darvon - Demerol - Dilaudid - Fentanyl - Heroin - Lomotil - Methadone - Morphine - Nubain - Oxycontin - Paragoric - Percodan - Stadol - Talwin - Vicodin |
