Naloxone (Narcan)

Question 0

Action

Answer 0

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

Question 1

Classification

Answer 1

Narcotic antagonist

Question 2

Indication

Answer 2

Suspected narcotic O.D. w/ respiratory rate < 12 or decreased tidal volume

Question 3

Contraindications

Answer 3

None

Question 4

Adverse Effects

Answer 4

Cardio- tachycardia, hypertension, dysrhythmias
Neuro- tremors, seizures
G/I- n/v

Question 5

Administration

Answer 5

0.8-2mg IVP/IM/IN
MR dose all routes every 5 min. prn
Titrate IV dose to adequate resp rate and TV

Question 6

Administration

PEDS

Answer 6

0.1mg/kg IVP, IM or IN

MR dose for all routes every 5 min. prn

Question 7

Onset

Answer 7

IVP immediate
IN almost immediate
IM 5 min.

Question 8

Duration

Answer 8

20-3min.

Question 9

How many mL’s per nostril?

Answer 9

1mL

Question 10

Reverses which Opiates/synthetic opiates?

9

Answer 10

MS
Fentanyl
Hydromorphone (Dilaudid)
Hydrocodone (Vicodin)
Oxycodone (OxyContin)
Tramadol (Ultram) 
Methadone (Meperidine)
Codeine (propoxyphene)
Paregoric

Question 11

Reverses which narcotic agonist/antagonists?

3

Answer 11

Butorphanol (Stadol)
Pentazocine (Talwin)
Nalbuphine (Nubain)

Question 12

Reference #806

Answer 12

Resp. Distress/arrest/hypoventilation (< 8 min.) &
ALOC w/ suspected O.D.
2mg IM/IN prior to IV or ET