303 Emergency Opioid Antagonist Treatment

Question 1

…………………. – Impaired mental or physical functioning as a result of the use of physiological and/or psychoactive substances, i.e., euphoria, dysphoria, apathy, sedation, and attention impairment.

Answer 1

Drug Intoxication

Question 2

……………………….– Intranasal MAD used to deliver a mist of atomized medication that is absorbed directly into a person’s bloodstream and directly into the brain and cerebrospinal fluid via the nose to brain pathway. This method of medication administration achieves medication levels comparable to injections.

Answer 2

Mucosal Atomization Device (MAD)

Question 3

……………..– An opioid receptor antagonist and antidote for opioid overdose produced in intramuscular, intranasal, or intravenous forms. Naloxone is the generic equivalent of Narcan and shall be the name referenced throughout this Order.

Answer 3

Naloxone

Question 4

………….– 2 mg/2 mL prefilled syringes compatible with the intranasal MAD for nasal rescue. Narcan is the proprietary drug name and shall be referred to as Naloxone throughout this Order.

Answer 4

Narcan

Question 5

………. – A class of drugs derived from opium. Examples include heroin, fentanyl, morphine, buprenorphine, codeine, hydromorphone, hydrocodone, oxymorphone, methadone, and oxycodone.

Answer 5

Opioids

Question 6

…………………… – An acute condition including but not limited to extreme physical illness, decreased level of consciousness, respiratory depression, coma, or death resulting from the consumption or use of an opioid, or another substance with which an opioid was combined, or that a layperson would reasonably believe to be an opioid-related drug overdose that requires medical assistance.

Answer 6

Opioid Overdose

Question 7

………………………. – An approach to infection control to treat all human blood and human body fluids as if they were known to be infectious for bloodborne pathogens.

Answer 7

Universal Precautions

Question 8

All incidents involving the application of Naloxone shall be documented prior to the end of shift using the following reporting methods:
a. An Information Report which shall contain the following information:

Answer 8

(1) Subject’s personal information;
(2) Facts of the incident and scene observations;
(3) Facts regarding the application of Naloxone and the results; and
(4) The lot number of the naloxone used.

Question 9

Inspection
On an annual basis (within a …………. timeframe from the documented date), the applicable unit commanding officer will ensure that a full visual inspection of all Naloxone is conducted and documented to verify that expiration dates have not been exceeded.

Answer 9

12 month