How is intranasal naloxone administered?
Naloxone nasal spray is delivered by inserting the tip of the nozzle into one of the patient’s nostrils and pressing the plunger. Naloxone nasal spray is available in cartons with two blister packs, each containing a 4-mg dose in a 0.1-ml aqueous solution.
What steps should you follow when administering naloxone nasal spray?
Tilt the head back and spray half of the naloxone up one side of the nose (1cc) and half up the other side of the nose (1cc). If there is no breathing or breathing continues to be shallow, continue to perform rescue breathing for them while waiting for the naloxone to take effect.
What are the two most common routes for administration of naloxone?
Naloxone is absorbed not only through intravenous (IV), but also by intramuscular (IM), subcutaneous (SC), endotracheal, sublingual, intralingual, submental, and nasal routes. Via the IV route, onset of action is within 1-2 minutes.
How do you use naloxone nasal kit?
Naloxone Nasal Spray
- Keep the spray in the original packaging until it is ready to use.
- Hold your thumb on the bottom of the plunger and the first and middle fingers on either side of the nozzle.
- Place the tip of the nozzle into the persons nostril and press firmly, remove from nostril.
Where do you administer naloxone?
Injecting into the muscle of the upper thigh or upper arm (see below) with a syringe is also a very common way to administer naloxone. Many naloxone kits come with a syringe and a vial (seen in photo below) or a pre-filled cartridge of naloxone. The shot can be administered through clothes.
What is the best way to administer naloxone?
How do you administer midazolam IV?
The IV injection of midazolam should be given slowly at a rate of approximately 1mg in 30 seconds. In adults below the age of 60 the initial dose is 2 to 2.5mg given 5 to 10 minutes before the beginning of the procedure. Further doses of 1mg may be given as necessary.
How do you administer midazolam injection?
administration: midazolam should be titrated slowly to the desired clinical effect. The initial dose of midazolam should be administered over 2 to 3 minutes. One must wait an additional 2 to 5 minutes to fully evaluate the sedative effect before initiating a procedure or repeating a dose.
What is Intranasal midazolam used for?
Intranasal midazolam has been shown to be effective and safe for rapidly sedating patients before anesthesia, for procedural sedation and for control of seizure.
Can midazolam be used to sedate a dangerously agitated patient?
Rapidly, establishing a difficult intravenous access in a dangerously agitated patient is a real challenge. Intranasal midazolam has been shown to be effective and safe for rapidly sedating patients before anesthesia, for procedural sedation and for control of seizure.
Why would a child be given midazolam?
Children often use midazolam (also known as Versed) to treat prolonged seizures. Midazolam is also used when successive seizures prevent a child from regaining full consciousness. How does intranasal midazolam work?
Why does midazolam have different onset times for different patients?
The reason for this variation could be the midazolam solution’s either being swallowed or being expelled during sneezing after INS administration. It is possible that the bioavailability of the drug decreased during swallowing and sneezing and thus resulted in different onset times being recorded.