NALOXONE (NARCAN)

Question 1

NALOXONE

Class?

Answer 1

• Narcatic antagonist

Question 2

NALOXONE

Indications?

Answer 2

• Drug overdose caused by narcatic agents such as morphine, demerol, heroin, dilaudid, percodan, codeine, lomotil, propoxyphene (Darvon), pentazocine (Talwin)
• For unconcious of unknown etiology

Question 3

NALOXONE

Contraindications?

Answer 3

• Hypersensitivity
• Absences of indication

Question 4

NALOXONE

Drug Interaction?

Answer 4

• May induce narcotic withdrawal

Question 5

NALOXONE

Administration?

Answer 5

• Adult: [0.4 mg-2.0 mg] IM/SQ, titrate to respiratory effort/rate. May be repeated at 2-3 minutes, if needed. [2 mg(1 per naris)]
• Pediatric: [0.1 mg/kg] 0-5 yrs or 20 kgs of body weight; children > 5 yrs and older or weighing more than 20 kgs may be given 2.0 mgs IM, SQ, IO. May be repeated at 0.1 mg/kg if no response.
• Neonate: [0.1 mg/kg] IM, SQ, IO, repeat in 2-3 mins if needed.
  
  • Mix 1 ml of naloxone, 0.4 mg in 9 ml of D5W, which gives 0.04 mg/ml

Question 6

NALOXONE

Special Notes?

Answer 6

• The patient may quickly become concious and combative