INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name opioid
naloxone Narcan antagonist 0.4mg IVP PRN Rate: Infuse over 15 seconds or titrate
antidote inf to response
Peak Onset Duration Normal Dosage range
UNK 1-2 minute 45 minute 0.4mg q 2-3 min

Why is your patient taking this medication? For IV meds, compatability with IV drips and/or solutions
To reverse the signs of opioid excess Incompatability: None noted

Mechanism of action and indications Nursing Implications (what to focus on)

Reversal of CNS depression and respiratory depression Contraindications/warnings/interactions Hypersensitivity; cardiovascular
because of suspected opioid overdosage. disease; patients physically dependent on opioids.

Competitively blocks the effects of opioids, including

CNS and respiratory depression, without producing
any agonist (opioid-like) effect Common side effects
Hypertension; hypotension; ventricular fibrillation; ventricular tachycardia;
nausea; vomiting

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

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment Why would you hold or not give Check after giving
Monitor respiratory rate, rhythm, and depth this med?
pulse, ECG, blood pressure; and level of Signs of bleeding; naloxone has been Patient has adequate ventilation
consciousness. associated with abnormal coagulation is alert without signifcant pain or
tacycardia, hypertension; monitor ECG tachycardia withdrawal symptoms
Hypertension