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9 Cards in this Set

  • Front
  • Back
Names for Naloxone
Narcan
Classification of Action
Narcotic Antagonist
Mechanism of action
blocks opiate receptors in brain, reversing the respiratory depression, pinpoint pupils, analgesia and sedation caused by narcotics.
Indications
suspected narcotic overdose in patients with respirations </= 12/min and signs of narcotic use (drug paraphernalia, pinpoint pupils)
dosage form
0.4mg or 0.5 mg/ml, 1ml ampule or 10ml vial

0.8mg, 1mg or 2 mg / 2ml, prefilled syringe
Adult dose
IM:
0.8, 1, or 2 mg IM - may repeat once

IVP:
0.4-1 mg IVP titrated to an adequate respiratory rate/tidal volume and a responsive patient w/out signs of withdrawal. Repeat dose every 2-3 minutes as needed.

ET:
4mg once
Pediatric dose
0.1 mg/kg IVP titrated to age appropriate respiratory rate. Repeat dose every 2-3 minutes as needed to a maximum of 1 mg/dose.

0.1 mg/kg IM once to a maximum of 1 mg, may repeat once.
side effects
Tachycardia
Hypertension
Nausea and vomiting
Precautions/comments
since duration of narcotic action may exceed that of naloxone, watch for recurrent respiratory depression and coma.

Can precipitate withdrawal syndrome and combative behavior in addicts