CAT 1 NARCAN Flashcards

1
Q

What is Narcan

A

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

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2
Q

How does narcan work

A

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

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3
Q

Indications of Narcan

A

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

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4
Q

Contraindications of narcan

A

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

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5
Q

Cautions of narcan

A

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

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6
Q

Presentation of narcan

A

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

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7
Q

Doseage (adult) narcan

A

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

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8
Q

Expected effects of narcan

A

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

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9
Q

Side effects of narcan

A

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

Tachycardia
Hypotension
Hypertension
Dizziness
Headache
Nausea

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