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Narcan - Naloxone

ADULT:

Suspected Narcotic OD with Respirations < 12/min:

 

0.8, 1, or 2 mg IM / IN.  Repeat every 3 min prn

0.4 or 1 mg IV.  Repeat every 3 min prn

4 mg/0.1 mL IN Preload Nasal Spray every 3 min prn (Police / Bystander Dosing / EMT)

 

PEDS:

Suspected Narcotic OD with Respirations < 12/min:

 

0.1 mg/kg IM / IN, (max single dose of 1 mg) Repeat every 3 min to a max of 1 mg

0.1 mg/kg IV (max single dose of 1 mg) Repeat every 3 min to a max of 1 mg

INDICATIONS:

- Suspected narcotic overdose in patients with respirations ≤ 12/min

 

COMMENTS:

- Watch for respiratory depression and coma, duration of narcotic action may exceed that of Narcan

- Titrate to an adequate respiratory rate and tidal volume

- If Narcan administered by PD PTA, ALS evaluation and transport is indicated.  Have PD information documented on the ePCR (Name, Badge, Time, Dose, and Patient status)

 

"IN" CONTRAINDICATIONS:

- Bleeding from nose, trauma, and excessive mucus.

 

IN: Instill rapidly, 1/2 dose per nostril, 1 cc max per nostril, per dose

PEDS - Narcan
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