Naloxone (Narcan) Flashcards

Question 1

Q

Narcan: Class

Answer

A

Opioid antagonist

Question 2

Q

Narcan: Action

Answer

A

Reversed respiratory depression, sedation, and hypotensive effects of opioid overdose by occupying opiate receptor sites

Question 3

Q

Narcan: Onset

Answer

A

IV/IN = 1-2 minutes

IM = 2-5 minutes

Question 4

Q

Narcan: Duration

Answer

A

IV 30-60 min, IM longer

Question 5

Q

Narcan: Indication

Adult

Answer

A

Adult: Poisoning/OD

Adult: Altered Neurological
- symptomatic suspected opioid OD with respirations <12

Question 6

Q

Narcan: Indication

PEDS

Answer

A

PEDS: Poisoning/OD

PEDS: Altered Neurological
- Symptomatic Suspected Opioid OD

Question 7

Q

Narcan: Dosage/Route

Adult

Answer

A

Adult:
2mg IN/IM/IV; MR titrate IV dose to effect To drive the respiratory rate

… if patient refuses transport: give 2mg “for the road”

Question 8

Q

Narcan: Dosage/Route

If patient refuses transport

Answer

A

If patient refuses transport:

2mg IM additional dose

Question 9

Q

Narcan: Dosage/Route

PEDS

Answer

A

PEDS: PDC IN/IM/IV; MR

Question 10

Q

Narcan: Dosage/Route

Adults/PEDS (opioid dependent pain management patients)

Answer

A

Adults/PEDS:

“use caution and titrate”

Question 11

Q

Narcan: Contraindications

Question 12

Q

Narcan: Side effects

Answer

A

Acute withdraws symptoms
Nausea/vomiting
Tachycardia/hypertension

Question 13

Q

Narcan: Packaging

Question 14

Q

Narcan: Administration

Answer

A

If giving IV, titrate to effect of controlling respirations.
For titrate dosing:
- ADULT: dilute IV dose (2mg) to 10ml with NS (new concentration = 0.1mg/0.5ml)
- PEDS: dilute 1mg to 10ml with NS (new concentration = 0.1 mg/1ml)

Question 15

Q

Narcotic Analgesics:

Answer

A

Some of these analgesics are not true opiates yet work and react similarly. Naloxone is an effective antidote for all of these:
Heroin
Fentanyl
Hydrocodone
Morphine
Oxycodone