Narcan (Naloxone)

Question 1

Class

Answer 1

Narcotic Antagonist

Question 2

Action

Answer 2

Blocks opiate (opioid) receptors in CNS

Question 3

Indications (3)

Answer 3

• OD of narcotics or any indication of substance abuse that involves respiratory depression
• Altered mental status, etiology unknown
• Code 500 with possibility of narcotic abuse or if pt is on prescribed narcotics

Question 4

Dosage/Route

Answer 4

Burn/Fx/AMS SO: 2 mg IN–1 mg/mL or 2 mg IV–0.5 mg increments

Question 5

Standard Prep

Answer 5

2 mg/2 cc preloaded syringe

Question 6

Peds Dose

Answer 6

• Communicate with BSP for orders

- 0.1 mg/kg to max of 2 mg

Question 7

Side Effects (6)

Answer 7

• May precipitate withdrawal symptoms with HTN, tachycardia, violent behavior
• N/V, arrhythmias, SZ

Question 8

Precautions (3)

Answer 8

• Short duration-potential for rapid relapse of respiratory depression, have resuscitation equipment ready with supplemental oxygen; prn order from medicom MD
• May need to use very large doses with Darvon OD
• Some drugs it reverses: heroin, MS, dilaudid, codeine, methadone, demerol, lomotil, Talwin, percodan, darvon, stadol, nubian, paregoric, darvocet