Therapeutic Intranasal Drug Delivery

Indications: For use on patients suspected of opiate overdose

1. Assess ABC’s – Airway, Breathing, Circulation
2. For pulseless patients, proceed to ACLS guidelines
3. Apnea with pulse – Establish oral airway and begin bag ventilation with 100% oxygen
4. Load syringe with 2 mg (2 ml) of naloxone and attach nasal atomizer
5. Place atomizer within the nostril
6. Briskly compress syringe to administer 1 ml of atomized spray.
7. Remove and repeat in other nostril, so all 2 ml (2 mg) of medication are administered
8. Continue ventilating patient as needed

If no arousal occurs after 5-10 minutes, proceed down standard unconscious protocol including injectable naloxone and secure airway if necessary.