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Naloxone formulation update October 2014. Remember “Four Rights” for medication administration Massachusetts Office of Emergency Medical Services Minimum.

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Presentation on theme: "Naloxone formulation update October 2014. Remember “Four Rights” for medication administration Massachusetts Office of Emergency Medical Services Minimum."— Presentation transcript:

1 Naloxone formulation update October 2014

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3 Remember “Four Rights” for medication administration Massachusetts Office of Emergency Medical Services Minimum Standards for First Responder Training in First Aid, Epinephrine Auto-Injector and Naloxone Use AR Right Patient (opioid overdose) Right Medication (Naloxone-check for clarity) Right Date (check expiration) Right Dose (spray half (1ml) in each nostril)

4 Naloxone formulations Intranasal Auto-injector

5 Intranasal naloxone needs to be dispensed with the mucosal atomization device If there is nasal trauma or bleeding, do not administer naloxone Benefits of Intranasal Naloxone Nose is an easy access point Painless Eliminates risk of contaminated needle sticks and needle dispensing Intranasal Naloxone

6 1.Remove both yellow caps from the ends of the syringe 2.Twist the nasal atomizer onto the tip of the syringe 3.Remove the purple cap from the naloxone 4.Twist the naloxone on the other side of the syringe Give Naloxone: Intranasal

7 Push 1ml (1mg) of naloxone into each nostril Administer the entire contents of the 2ml syringe with approximately one half (1ml) administered in each nostril Administering one half in each nostril maximizes absorption Give Naloxone: Intranasal

8 Each auto-injector contains only 1 dose Inject into muscle or skin of the outer thigh Can be injected through clothing if needed Device injects intramuscularly or subcutaneously, delivers the naloxone, and retracts the needle fully into its housing Needle not visible before, during, or after Auto-injector Naloxone

9 Practice with the Trainer to make sure you are able to safely use the auto-injector in an emergency The Trainer does not contain a needle or medicine It can be reused to practice your injection The red safety guard can be removed and replaced on the Trainer Auto-injector Naloxone

10 Give Naloxone: Auto-injector

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14 How does a person respond to Naloxone? Scenarios: 1.Gradually improves breathing and becomes responsive within 3 – 5 minutes 2.Immediately improves breathing, responsive, and is in withdrawal 3.Starts breathing within 3 – 5 minutes but remains unresponsive 4.Does not respond to first dose and naloxone must be repeated in 3 – 5 minutes (keep rescue breathing)

15 Continue rescue breathing with 1 breath every 5 seconds until emergency responders arrive After 3-5 minutes, if the patient is still unresponsive with slow or no breathing, administer another dose of naloxone After Administering Naloxone

16 If victim is breathing, but unresponsive place in recovery position

17 Naloxone Storage Intranasal: Storage between 59 degrees to 86 degrees. – Avoid extremes in temperatures for long periods of time – Replace every 6-12 months, before expiration date Auto-injector: 59°F to 77°F (15°C to 25°C) – Temperature excursions are permitted between 39°F and 104°F – Keep in outer case until needed – If solution through viewing window is discolored, cloudy, then replace – Replace before expiration date


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