TB 170 - Narcan Nasal Spray

Question 1

What is used as an emergency medication for patients with respiratory compromise who are suspected of overdosing on an opioid substance?

Answer 1

Narcan nasal spray (naloxone hydrochloride)

Question 2

The spray is administered through what and works within minutes since the nasal mucosa is highly vascularized and absorbs drugs directly into the blood stream?

Answer 2

Nose (intranasal)

Question 3

Narcan nasal spray administeres a pre-metered dosage of what mg?

Answer 3

4 mg

Question 4

The narcan nasal spray should be used for suspected narcotic overdose with respiratory arrest or hypoventilation with less than how many breaths a minute?

Answer 4

8 breaths

Question 5

What are signs and symptoms of opioid overdose?

Answer 5

Unresponsive or minimal with pulse
Depressed respiratory rate (less than 8/min)
Agonal respirations (gasping)
Respiratory arrest
Cyanosis
Constructed/pinpoint pupils

Question 6

What are other indications of suspected opioid over dose?

Answer 6

Confirmation from bystanders
Drug paraphernalia
Opioid prescription bottles
“Track marks”

Question 7

What are contraindication uses for the narcan nasal spray?

Answer 7

Cardiac arrest
Seizure
Peds less than 1 year of age
Nasal trauma or obstruction

Question 8

Narcan nasal spray should be administered once what has been performed and the indications for use are confirmed?

Answer 8

Primary assessment

Question 9

Uses of what for airway management should coincide with medication administration?

Answer 9

BVM ventilation with oxygen

Question 10

Is this a single use spray?

Answer 10

Yes

Question 11

If respiratory rate remains at less than 8/min, what should be administered?

Answer 11

A second 4 mg nasal narcan spray

Question 12

Particular attention must be paid to the patients what whenever narcan is given due to an increased risk of vomiting?

Answer 12

Airway

Question 13

Upon recovery of an adequate respiratory rate and tidal volume, patients should be placed on what side in order to minimize the risk of emesis and aspirations?

Answer 13

Their left side

Question 14

Patients receiving narcan may wake up suddenly and become what?

Answer 14

Combative, belligerent, or uncontrollable

Question 15

The use of this device does not relieve rescue personnel of their fundamental responsibility to use appropriate PPEs such as?

Answer 15

Face, eye, airway, and skin protection

Question 16

The use of narcan nasal spray shall be documented in what flex field sections of the EPCR and comments should include respiratory status was continually assessed?

Answer 16

“Treatments/medications”