Indications: Suspected narcotic overdose, when response unit is stocked and equipment for Naloxone administration.
Suspected narcotic overdose
Victim is poorly responsive and respiratory rate appears slow or shallow, or victim is unresponsive and not breathing
Procedure: ensure ALS unit is en route
Stimulate the victim to determine unresponsiveness.
NARCAN Administer Narcan Nasal Spray 4 mg preloaded single dose device
Administer full dose in one nostril
Plug other nostril
Naloxone - Pre-fill syringe
Assemble 2 mg Naloxone in syringe and atomizer
Administer 1 mg into each nostril (½) total dose into each nostril
May repeat once
Post Narcan Treatment: After Narcan administration, observe for improved breathing and consciousness; if breathing or consciousness do not improve, assist breathing with bag-valve-mask or begin CPR if appropriate. If CPR not necessary and it is possible, place patient in left lateral position to avoid aspiration.
Documentation: Time of assistance with auto-injector, dose given, response to treatment and repeat V/S, route (IN)