CAT 1 NARCAN

Question 1

What is Narcan

Answer 1

Opiate antagonist which is used IV in emergency situations to reserve respiratory depression caused by overdoses of heroin, morphine or other opioids

Question 2

How does narcan work

Answer 2

Naloxone is an opiate antagonist. It sits in receptor sites and blocks opioids from binding and activating

Question 3

Indications of Narcan

Answer 3

Unconsciousness, associated with respiratory depression of unknown cause, where opioid overdose is a possibility
In cardiac arrest of opioid overdose is a cause

Question 4

Contraindications of narcan

Answer 4

Neonates born to opioid addicted mothers can suffer from serious withdrawal effects. Emphasis should be on BVM ventilation and oxygenation

Question 5

Cautions of narcan

Answer 5

None listed
Although can of be given to children under 12 in cardiac arrest

Question 6

Presentation of narcan

Answer 6

Naloxone hydrochloride 400mcg in 1ml ampoule is the common presentation for paramedics.

Question 7

Doseage (adult) narcan

Answer 7

Respiratory arrest/depression - IV/IO initial dose 400mcg
Cardiac arrest - IV/IO initial dose 400mcg
Respiratory arrest/depression - IM initial dose 400mcg

Question 8

Expected effects of narcan

Answer 8

Patient will recover approx 5mins to full consciousness
Duration of action is usually 30-90mins

Question 9

Side effects of narcan

Answer 9

If given to quickly it can cause acute withdrawal syndrome which is painful and distressing for the pt.

Tachycardia
Hypotension
Hypertension
Dizziness
Headache
Nausea