Narcan

Question 1

Wheres the first place to go to for naloxone? (not in an emergency)

Answer 1

The Health Department

Question 2

What are some of the first signs that someone may have ODed on an opioid?

Answer 2

• Cyanosis
• Agonal breaths
• Inability to wake them up
• Decreased breathing/apnea

Question 3

What are some of the MC opioids?

Answer 3

• Heroin
• Fentanyl
• RX opioids

Question 4

What is pink?

Answer 4

Fentanyl + Heroin

Question 5

What exactly does naloxone do?

Answer 5

Removes opioid from receptor (Displacement)

Once it wears off, the drug can attach again!!!!!!!

Question 6

Why is naltrexone NOT used in ODs?

Answer 6

Takes 30 minutes to work

Question 7

What is the difference between nalmafene/Opvee vs naloxone?

Answer 7

Longer half-life with nalmafene

Its RX-only

Question 8

What is the primary goal of administering naloxone?

Answer 8

Just to get the pt breathing

Question 9

A patient presents with suspect opioid OD but you’re really not sure? Shouild you administer naloxone?

Answer 9

Yes

Question 10

What are the primary steps in administering naloxone?

Answer 10

1. Put pt flat on back
2. Call 911
3. Give a dose of naloxone

Question 11

What should you do in between naloxone doses if a pt is apneic?

Answer 11

Rescue breathing

Question 12

Your patient that you gave naloxone to starts vomiting. You should…

Answer 12

Turn them onto their side

Question 13

T/F: DXM OD can be treated with naloxone

Answer 13

Kinda

She said it kinda works

Question 14

Once you give naloxone, besides calling 911, you should call Poison control at…

Answer 14

1-800-222-1222

You must report usage of naloxone in WV

Question 15

Primarily, naloxone is adminstered…

Answer 15

intranasally

Can be given IM or SQ but mostly nasal

Question 16

Narcan (tm) is sold as ?? dosage and has ?? dosages/box

Answer 16

4mg/0.1mL with 2 doses/box

Question 17

The only naloxone device that CANNOT be used in children < 12 is…

Answer 17

ZIMHI autoinjector

Question 18

Why do you need to keep your empty naloxone device?

Answer 18

Give to EMS so they can verify how much naloxone has been given.

They can also dispose of it for you

Question 19

The highest dose naloxone nasal spray is…

Answer 19

Kloxxado (8 mg)

Question 20

Who can take nalmefene/opvee?

Answer 20

Children 12 and older

Rx-only, 11 hr half-life

Available via WV Standing order

Question 21

How do you specifically administer naloxone in the nostril?

Answer 21

• Point towards their ear
• Insert all the way into their nostril
• DO NOT TRIAL IT, SINGLE DOSE

Question 22

If a person is not breathing well after the first dose of naloxone, how long should you wait to give a 2nd dose?

Answer 22

3 minutes

Alternating nostrils is ideal

Question 23

Can you give ZIMHI/autoinjectable naloxone through clothing?

Answer 23

Yes

Anterolateral thigh, 90deg angle and hold for 5s

Question 24

T/F: You can OD a child with naloxone

Answer 24

False

No opvee or ZIMHI for kids < 12!