Naloxone Flashcards

1
Q

Naloxone- Name

A

Narcan

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2
Q

Naloxone- Class

A

Narcotic (Opiate) Antagonist

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3
Q

Naloxone- MoA

A

Reverses the respiratory depression and CNS sedation of narcotics by competing for opiate receptor sites in the brain

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4
Q

Naloxone- Indications

A

Known or suspected narcotic overdoses with inadequate respiratory function

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5
Q

Naloxone- Contra

A

Not be used if patient has adequate respiratory status

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6
Q

Naloxone- S/E

A

Cardiovascular: tachycardia, hypertension, dysrhythmias

Neurological: tremors/seizures, aggressive/combative

Gastrointestinal: nausea/vomiting

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7
Q

Naloxone- Routes

A

IV, IO, IM, IN, ET

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8
Q

Naloxone- A. Dose

A

1.0 – 2.0 mg IV/IM/IN.

Titrate IV dose to adequate respiratory rate and tidal volume.

May repeat dose every 5 minutes as needed

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9
Q

Naloxone- P. Dose

A

0.1 mg/kg IV/IM/IN.

Titrate IV dose to adequate respiratory rate and tidal volume.

May repeat dose every 5 minutes as needed

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10
Q

Naloxone- EXTRAS

A

Precautions: Give drug prior to intubation

Prepare to protect patient and EMS personnel due to aggressive/combative personality following rapid reversal of a narcotic overdose

Does not reverse narcotic-induced hypotension

Use with caution in narcotic addicts or chronic pain patients, as Narcan will rapidly reverse the CNS depressant effects of opiods.

Immediate onset when administered IV/IO/IN/ET and 5-10 minutes if administered IM. Either may last 20-30 minutes

Darvon and other synthetic narcotics may require larger dosages to reverse the effects

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