2015 Trumbull Memorial Hospital Demo

Naloxone (Narcan) Naloxone (Narcan ® )

Action

Onset

Narcotic antagonist

2 minutes

Indications Unresponsiveness (Adult or Ped) Overdose (Adult or Ped)

Adult Dose 4 mg IVP/IO (slowly) or IM, may repeat once in 5 minutes if no effect 2 mg via MAD (1 mL per nostril maximum)

Pediatric Dose 0.1 mg/kg IVP/IO/MAD, may repeat in 5 minutes if no effect. Maximum 2 mg.

Contraindications Known hypersensitivity.

Adverse Reactions Nausea, vomiting, sweating, tachycardia, increased blood pressure, tremulousness, seizures, and cardiac arrest

Precautions Several instances of hypotension, hypertension, ventricular tachycardia and fibrillation, and pulmonary edema have been reported. Most of whom had pre-existing cardiac disease. Have means to physically control the patient prior to administering the narcan. Considerations Short half-life. All patients receiving narcan regardless of state of consciousness or alertness must be transported to the hospital. They may revert to their original state when the effects of narcan diminish.

212

EMR

EMT

AEMT

Paramedic

Extended