Category: Naloxone emt drug card

Send the page " " to a friend, relative, colleague or yourself. We do not record any personal information entered above. Opioid antagonist; derivative of oxymorphone For reversal of clinical effects of opioid analgesics Auto-injector and nasal formulations available to treat overdose outside of healthcare setting.

In emergency settings, clinical practice guidelines recommend 0. Repeat doses as needed to attain desired response. Some opiate overdoses may require titration to a total naloxone dose of 6 to 10 mg over a short period; for patients with chronic opioid addiction, use smaller doses and titrate slowly to minimize cardiovascular adverse effects and withdrawal symptoms.

There is no good evidence to suggest that naloxone improves outcome in patients with opioid-induced cardiac arrest. Thus, once arrest has occurred, airway control is a priority before administration of naloxone. If there is no significant clinical response after administering a total dosage of 10 mg, the diagnosis of narcotic-induced depression should be questioned.

The FDA-approved labeling recommends an initial dose of 0. If there is no significant clinical response, a subsequent dose of 0. If IV access is not available, IM administration is acceptable. The FDA-approved labeling recommends 0. Additional doses may be necessary depending on patient response, as well as the dosage and duration of action of the opiate agonist administered. Seek immediate medical attention after administration of the first injection.

May repeat dose every 2 to 3 minutes as needed until the desired response is obtained. Each device contains a single dose. If patient responds, but again experiences respiratory depression before emergency assistance arrives, an additional dose may be administered.

NOTE: Restrict use of the 2 mg nasal spray to opioid-dependent patients expected to be at risk for severe opioid withdrawal in situations where there is a low risk for accidental or intentional opioid exposure by household contacts. Seek immediate medical attention after administration of the first dose. If additional doses are available, may repeat dose in alternate nostrils every 2 to 3 minutes as needed if the desired response is not attained or if the patient relapses into respiratory depression.

Family or caregiver should monitor the patient closely until emergency medical personal arrive. Pediatric patients should continue to be monitored for at least 24 hours after administration. The optimal endotracheal ET dosage has not been determined for naloxone.

Repeat dose as needed to attain desired response. ET administration during emergency settings should only be used if access to IV or IO routes cannot be achieved or access is delayed. ET administration is generally associated with lower systemic drug concentrations compared to IV administration and may be less effective. A dose of 2 to 3 times the IV dose has been recommended equivalent to 0. Nebulized naloxone was well-tolerated and resulted in a reduction in the need for supplemental oxygen as well as improving median Glasgow Coma Scale GCS and Richmond Agitation Sedation Scale RASS scores in patients with known or suspected opioid intoxication.

Limited data available. If repeated intermittent doses are required, it has been suggested to calculate the initial infusion rate based on the effective intermittent dose used; use two-thirds up to the full intermittent dose as the initial hourly infusion rate i. Titrate upward if respiratory depression develops.

naloxone emt drug card

A single case in a year-old adolescent male reports an infusion of 0. The decision to wean should take into account the half-life of the ingested substance, the amount ingested, and conditions that may predispose the patient to slow opioid metabolism.Other restrictions apply.

Limit 1 fill per month. Maximum of 4 redemptions per month 7 film minimum per redemption. When you use this card, you are certifying that you understand the program rules, regulations, and terms and conditions. You may take advantage of only one savings program from Indivior Inc. By using this card, you certify that you will not seek reimbursement for the value received from this card from any third-party payers, including a flexible spending account or healthcare savings account.

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This site is intended solely for US patients. Close X. About this Resource Indivior Inc. Some of the participating HCPs may be consultants to Indivior and receive payment for services. Yes Cancel. Continue Cancel.Make EMS1 your homepage. Pupils are pinpoint. You smell the alcohol? You think he needs Narcan? He darned sure deserves Narcan — maybe an intubation, too.

It happened nearly 15 years ago, shortly after I had become a paramedic. I was tired, overworked and ready to get back to bed. I resented having to be there.

I was going to punish the man responsible — the junkie, as I saw it — for rudely interrupting my sleep. I was also doing exactly what I had been taught. So we packaged the patient, taking care to assure that he was strapped down tightly, gave two milligrams of intravenous naloxoneand waited for the inevitable hissy-fit as the medication rudely yanked him out of his opiate-induced haze.

Obviously, that was not my finest hour as a paramedic. Luckily for me and the patient, the withdrawals never happened.

naloxone emt drug card

We did indeed succeed in ruining his high. However, all of us were lucky that the reversal agents only resulted in an angry patient. It could have been much worse. He could have had intractable seizures, flash pulmonary edema, myocardial infarction or severe hypertension.

Aside from the injudicious use of antiarrhythmics, I can think of no other drug in our boxes more misused than good old naloxone. Not so with naloxone. All too often, we give it for punitive reasons rather than therapeutic. Some posters felt that treatment should first begin with endotracheal intubation and ventilatory assistance, followed by judicious administration of naloxone.

They ignored the fact that endotracheal intubation itself poses its own set of risks and complications, and probably should be deferred if less invasive means of delivering adequate ventilations are available. The wiser heads in the group pointed out that naloxone merely restores respiratory drive and does very little to blunt the hypotension associated with such overdoses. They advocated starting with BVM ventilation if necessary, followed by small doses of naloxone, in order to reach the end point of the restoration of respiratory drive — period.

naloxone emt drug card

Some preferred IV naloxone, while others advocated intramuscular or nasal mucosal administration. Sometimes, less is more. He has spent the past 24 years as a field paramedic, critical care transport paramedic, field supervisor and educator.

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Kelly's books are available on his author page at Amazon. You can follow him on Twitter AmboDriver or Facebookor email him at kelly ambulancedriverfiles. More Product news. More Product Originals. More Ambulance Disposable Supplies Articles. All Distributors. More Ambulance Disposable Supplies Deals. Make EMS1 your homepage Open the tools menu in your browser. Nearly courses totaling hours of CE. Sign up for EMS1 Academy today!

Email Print Comment. Thank You! Join the discussion.However, the below is FREE drug study alternative that is intended to aid Paramedic Students in memorizing the dosages for the various Paramedic medications that are required for paramedics to do their job.

Simply mouse over or tap the below card and the reverse side will include the dosage for that medication. Each card also includes a link to a drug information page for each card.

If there is a drug that is not included here, or if there is information that is either wrong or not valid then please simply fill out the form below and include the information you would like to see here and the page will be updated with a flip card and corresponding drug information page. If this tool was useful, then please like and share it across whatever platform you enjoy using. Drug Info. Drug Facts. Repeat min.

Repeat prn. Titrate to desired response. Adult: Perfusing dysrhythmias Stable VT; Wide complex tachycardia of uncertain type; significant ectopy :. Pulseless arrest for hypomagnesemia or torsades de pointesStatus asthmaticus:. Torsades de Pointes with pulse or AMI with hypomagnesemia. Adult: 0. Adult Sedation: Typically Adult: 2. Paramedic Drug Dosage Cards. Name required. Email required. Paramedic Drug Information required. Acetaminophen Trade Name: Tylenol.

Adenosine Trade Name: Adenocard. Amiodarone Trade Name: Cordarone, Pacerone. Maintenance Infusion: mg IV over 18 hours 0. Albuterol Trade Name: Proventil, Ventolin.

Atropine Trade Name: Atropine, Atropa. Doses of less than 0. Dosage exceeding 4mg by physician order only. Diphenhydramine Trade Name: Benadryl. Furosemide Trade Name: Lasix. Dopamine Trade Name: Dopamine. EpinephrineTrade Name: EpinephrineNitroglycerin Trade Name: Nitrostat.

Dextrose Adult: Glucagon Trade Name: Glucagen, Glucagon.Sign in. Don't have an account? We weren't able to detect the audio language on your flashcards. Please select the correct language below. Add to folder [? Find out how you can intelligently organize your Flashcards.

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Paramedic Drug Dosage Cards

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Thread starter pcp Start date Mar 9, MInd taking 5 mins and adding any thing i maybe missing. Contraindications- Systolic blood pressure below mmHg, diastolic pressure below 50 mmHg or pulse less than 50 min. Viagra within the last 24 hrsmales or females. Patient has taken the maximum prescribed dosage or a total of three doses. Head injury, severe anemia, hypersensitivity, tolerance to nitrate, glaucoma, and shock.

Precautions- May induce headache that is sometimes severe, nitroglycerine is light sensitive and will lose potency when exposed to the air. Drug indications- Chest pain associated with angina and acute myocardial infraction, and acute pulmonary edema. Predominate beta 2 effects relax bronchiole smooth muscle and cause bronchodilation. Precautions- the patient may experience tachycardia, anxiety, nauseam cough, wheezing or dizziness, Vital signs and breath sounds must be monitored, use caution with elderly, cardiac, or hypertensive patients.

Analgesia by mechanism of reducing prostaglandins, thus reducing inflammation. Antipyretic effects work on hypothalamus causing heat to be lost by vasodilation. Indication-New chest pain suggestive of acute AMI Contraindications- Hypersensitivity to salicylates, asthma, bleeding ulcers.

Drug interactions- for mild to moderate pain and fever when aspirin is otherwise not tolerated. Indication- Many oral poisonings and medication overdoses. Contraindications- Corrosives, caustics, petroleum distillates, GI bleeding.Make EMS1 your homepage. Cover how to identify drug abuse vs. Responding to possible opioid overdose situations can be tricky.

naloxone card

Is the patient really exhibiting signs of an overdose? Did the patient actually overdose on an opioid? This means not every potential patient that took heroin should be administered naloxone. Rather, we need to focus on the clinical signs and symptoms of an opioid overdose, like respiratory depression with an altered level of consciousness CNS depressionnot just pinpoint pupils and the act of taking an opioid.

One of the greatest implementations into the EMS treatment realm has been the introduction of intranasal IN medication administration. Aside from intravenous IVintraosseous IO and intramuscular IM administration, naloxone seems to have gained significant popularity via the IN route. Auto-injectors can be pricey, but inhaled medication via nasal spray or atomizer makes both medication stocking and public administration more effective.

Many EMS protocols seem to call for naloxone administration with a starting dose of between 0. This slight variance is typically due to its container type and dose, with vials being dosed at 0. Cardiac arrest situations, or exacerbated events where a higher dose is required, typically have protocols titrate up to 2 mg total, unless an extenuating circumstance is considered, such as an overdose of a street drug like carfentanil. Remind trainees to carefully inspect any administered medication to appropriately document and account for any treatment provided pre-arrival.

One of the criticisms of the public administration of naloxone is the plan B aspect — what if nothing happens after it is administered? Should you simply administer more? What else might the patient have consumed or injected? Is this even an overdose situation to begin with? Additional training is the safest way to address this question — both training EMS providers on safety considerations for dealing with a potentially violent patient and training law enforcement officers to recognize these situations, as well as how to use a bag-valve mask device.

Tachycardia can ensue, or the patient can experience nausea and vomiting, agitation or even pulmonary edema. Allowing for a field release may not always be the most appropriate next step. As always, follow your local protocols, educate your responding staff on all of the details, practice medicine as an ethical and competent clinician and train on the topics that you have questions about.

He's been involved in EMS and emergency services sinceand has worked as an EMT, paramedic and critical care paramedic in a variety of urban, suburban, rural and hospital settings.

naloxone emt drug card

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FAQs about Narcan (naloxone) and its use in opioid overdoses

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