Drug Card
What class is Naloxone in?
Narcotic Antagonist
The use of prescription drugs for non-prescribed
purposes or the use of drugs that have no prescribed medical use.
What is "Drug Abuse"?
This term is preferred because it refers to both natural and synthetic products that have morphine-like affects.
What is Opioid?
What is the classic triad of an opioid overdose?
1. Miosis/small pupils
2. Respiratory Depression
3. Decreased level of consciousness
What are the effects of taking an opipid?
sedation, euphoria
How is Naloxone supplied?
2mg/2ml
A predictable set of signs and symptoms that occurs after a decrease in the amount of the usual dose of a drug or its sudden cessation.
What is Withdrawal Syndrome?
Onset of action intranasally?
onset of action is less than 5 minutes
Beyond the triad symptoms of opioid overdose what are other signs and symptoms could be present?
Name 3
slow shallow breathing, cold clammy skin
impaired coordination, severe hypoxia
bradycardia, hypotension, lethargy
muscle spasm, seizures, urinary retention
respiratory depression
What is Wyoming law 35-4-901 thru 35-5-906?
A new Wyoming law allows pharmacists to prescribe naloxone to individuals. Anyone can go to a local pharmacy and ask about obtaining naloxone.
Naloxone Pediatric Dose
Compulsive, uncontrollable dependence on a substance, habit, or practice (can be physical or mental dependence).
What is addiction?
How long are the effects of the Naloxone?
60 to 100 minutes
Naloxone is metabolized in the --------? and excreted via the -------?
liver, kidneys
Why do patients that have opioid toxcity have to be transported for medical care?
Due to the risk of reemergence of opioid toxicity with respiratory failure and death.
Adult Dose of Naloxone.
Adult: 0.4 to 2.0 mg IV, IO, IM, Sub-Q, or 2.0 to 4.0 mg intranasal (1.0 mg. per nostril) May repeat every 2 to 3 minutes as needed
Psychological and/or physical dependence, functional impairment, and deviation from approved social norms.
What are SYMPTOMS of drug abuse?
Name 3 common street names for opioids.
Dreamer, Junk, Smack, Horse, School Boy, Dover's Powder
If given too much naloxone too fast what may be the result?
combative and violent patient
What signs may be present on the patient to alert you to an opioid overdose?
thrombophlebitis, scarred veins, puckered scars
6 rights of medication administration.
Right Patient Right Documentation
Right Medication
Right Dose
Right Time
Right Route
In 2016 the program was awarded a 5 year grant to include Naloxone Kits which are opioid over dose antidotes across the state.
What is the "Grant to Prevent Prescription Drug-Opioid Overdose Related Deaths"?
Name 5 narcotics that Naloxone can help reverse.
Morphine Precodan Stadol
Demerol fentanyl Darvon
paregoric methadone
Dilaudid Nubain
Codeine Talwin
Heroin T
Name 4 ways a opium derivative can be administered.
percutaneously/absorbed thru the mucus membranes
sniffing/snorting
subcutaneous injection/skin popping
Direct IV injection/mainlining
What are the signs of a positive response to the naloxone? (3)
Dilation of pupils if constricted
increase in respiratory function, blood pressure and cardiac rate