NJ Protocols

Question 1

What are the indications for naloxone (Narcan) use?

Answer 1

patients with respiratory depression or arrest secondary to known or suspected opiate overdose (as evidenced by pinpoint pupils, depressed mental status, etc.)

Question 2

What are the contraindications for naloxone (Narcan) use?

Answer 2

• hypersensitivity or allergy to naloxone

- medication is discolored, cloudy, precipitated, or expired

Question 3

What is the dosage of naloxone by both intranasal and intramuscular routes?

Answer 3

half of medication 1mg/mL per nare;

0.4mg to lateral thigh

Question 4

What are the indications for aspirin?

Answer 4

pt currently experiencing chest discomfort

Question 5

What are the contraindications of aspirin?

Answer 5

• known hypersensitivity or allergy to aspirin
• 325mg of aspirin taken in past 24 hours
• bleeding or active bleeding disorder
• pregnancy
• suspicion of thoracic or AAA
• aspirin is expired

Question 6

Explain how you would administer aspirin.

Answer 6

~325 mg;

have pt chill and swallow;

Question 7

What are the indications for nitroglycerin (NTG)?

Answer 7

pt currently experiencing chest discomfort

Question 8

What are the contraindications for nitroglycerin (NTG)?

Answer 8

• 3 doses of NTG within a 15-minute period

- systolic BP

Question 9

Explain how you would administer nitroglycerin (NTG).

Answer 9

• must be prescribed for and supplied by pt
• assist with one tablet or spray under the tongue
• reassess chest discomfort (0-10) and vitals after 1-2 minutes
• repeat one dose of NTG every 5 minutes with a max dose of 3