Narcan Flashcards
Wheres the first place to go to for naloxone? (not in an emergency)
The Health Department
What are some of the first signs that someone may have ODed on an opioid?
- Cyanosis
- Agonal breaths
- Inability to wake them up
- Decreased breathing/apnea
What are some of the MC opioids?
- Heroin
- Fentanyl
- RX opioids
What is pink?
Fentanyl + Heroin
What exactly does naloxone do?
Removes opioid from receptor (Displacement)
Once it wears off, the drug can attach again!!!!!!!
Why is naltrexone NOT used in ODs?
Takes 30 minutes to work
What is the difference between nalmafene/Opvee vs naloxone?
Longer half-life with nalmafene
Its RX-only
What is the primary goal of administering naloxone?
Just to get the pt breathing
A patient presents with suspect opioid OD but you’re really not sure? Shouild you administer naloxone?
Yes
What are the primary steps in administering naloxone?
- Put pt flat on back
- Call 911
- Give a dose of naloxone
What should you do in between naloxone doses if a pt is apneic?
Rescue breathing
Your patient that you gave naloxone to starts vomiting. You should…
Turn them onto their side
T/F: DXM OD can be treated with naloxone
Kinda
She said it kinda works
Once you give naloxone, besides calling 911, you should call Poison control at…
1-800-222-1222
You must report usage of naloxone in WV
Primarily, naloxone is adminstered…
intranasally
Can be given IM or SQ but mostly nasal
Narcan (tm) is sold as ?? dosage and has ?? dosages/box
4mg/0.1mL with 2 doses/box
The only naloxone device that CANNOT be used in children < 12 is…
ZIMHI autoinjector
Why do you need to keep your empty naloxone device?
Give to EMS so they can verify how much naloxone has been given.
They can also dispose of it for you
The highest dose naloxone nasal spray is…
Kloxxado (8 mg)
Who can take nalmefene/opvee?
Children 12 and older
Rx-only, 11 hr half-life
Available via WV Standing order
How do you specifically administer naloxone in the nostril?
- Point towards their ear
- Insert all the way into their nostril
- DO NOT TRIAL IT, SINGLE DOSE
If a person is not breathing well after the first dose of naloxone, how long should you wait to give a 2nd dose?
3 minutes
Alternating nostrils is ideal
Can you give ZIMHI/autoinjectable naloxone through clothing?
Yes
Anterolateral thigh, 90deg angle and hold for 5s
T/F: You can OD a child with naloxone
False
No opvee or ZIMHI for kids < 12!
