Narcan

INDEX Generic Name naloxone

Trade Name Narcan

Peak UNK

Onset 1-2 minute

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency opioid antagonist 0.4mg IVP PRN Rate: Infuse over 15 seconds or titrate antidote inf to response Duration Normal Dosage range 45 minute 0.4mg q 2-3 min

Why is your patient taking this medication? To reverse the signs of opioid excess

For IV meds, compatability with IV drips and/or solutions Incompatability: None noted

Mechanism of action and indications Reversal of CNS depression and respiratory depression because of suspected opioid overdosage.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity; cardiovascular disease; patients physically dependent on opioids.

Competitively blocks the effects of opioids, including CNS and respiratory depression, without producing any agonist (opioid-like) effect

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) opioid analgesics; buprenorphine; butorphanol; nalbuphine; pentazocine; propoxphene;

Nursing Process - Assessment (Pre-administration assessment Monitor respiratory rate, rhythm, and depth pulse, ECG, blood pressure; and level of consciousness. tacycardia, hypertension; monitor ECG

Common side effects Hypertension; hypotension; ventricular fibrillation; ventricular tachycardia; nausea; vomiting

Lab value alterations caused by medicine ABGs including PO2, PCO2

Be sure to teach the patient the following about this medication As medication becomes effective, explain purpose and effects of naloxone to patient Report pain that emerges after administration of drug to physician

Assessment Why would you hold or not give this med? Signs of bleeding; naloxone has been associated with abnormal coagulation tachycardia Hypertension

Evaluation Check after giving Patient has adequate ventilation is alert without signifcant pain or withdrawal symptoms