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9 Cards in this Set

  • Front
  • Back
Narcan
Class
Opioid Antagonist
Narcan
Action
Reverses respiratory depression, sedation, and hypotensive effects of opiod overdose by occupying opiate receptor sites.
Narcan
Onset/Duration
Onset= IV 1-2 minutes, IM 2-5 minutes

Duration= IV 30-60 minutes, IM longer.
Narcan
Indications
Symptomatic suspected opioid OD, EXCLUDING opioid dependent pain management pts. (S-123, S-161)

Suspected symptomatic opioid OD in opioid dependent pain management patients
(S-123, S-161)
Narcan
Dosage/Route
? Opiate OD
non-pain mgmt pts
ADULT: with RR <12
2mg IVP/ direct IVP/IM, MR
Titrate IV dose to effect
IF PT REFUSES TX, GIVE ADDITIONAL 2mg IM

PEDS:
PDC IVP/ direct IVP/IM; MR
Narcan
Dosage/Route
? Symptomatic Opioid OD
Pain MGMT Pts
ADULT: IF RR <12
0.1mg increments titrate up to 2mg IVP/direct IVP --or--
IM 1-2mg MR BHO

PEDS:
PDC IVP/Direct IVP OR IM
Titrate IV dose to effect
MR. BHO
Narcan
Contraindications
NONE
Narcan
Side Effects
Acute Withdrawl Symptoms
Nausea/Vomiting
Tachycardia/hypertension
Narcan
Special Info
Narcan can precipitate withdrawal syndrome and/or combative behavior

Assessing the effectiveness of Narcan

Changes in LOC, respiratory status, 02 saturation and pupil response
Respiratory distress in an OD; use Narcan before insertion of ET. Manage airway BLS

Can relapse if opioid is still in the patients system

Affective against

New concentration for pain management patient

Adult: 2mg in 10ml (0.1 mg/0.5ml)
PED: 1mg to 10ml (0.1 mg/1ml)