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9 Cards in this Set
- Front
- Back
Narcan
Class |
Opioid Antagonist
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Narcan
Action |
Reverses respiratory depression, sedation, and hypotensive effects of opiod overdose by occupying opiate receptor sites.
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Narcan
Onset/Duration |
Onset= IV 1-2 minutes, IM 2-5 minutes
Duration= IV 30-60 minutes, IM longer. |
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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) |
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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 |
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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 |
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Narcan
Contraindications |
NONE
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Narcan
Side Effects |
Acute Withdrawl Symptoms
Nausea/Vomiting Tachycardia/hypertension |
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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) |