Intranasal medication therapy treatment protocols for ED, EMS and home

Intranasal Medication Delivery - Treatment protocols

Down load MS word file protocols for the Emergency room and clinic:

Nasal drug protocols for anesthetics and vasoconstrictors (click here) - 0.05 MB Word file
Nasal drug protocols for off-label medications (click here) - 0.06 MB Word file
Nasal drug dosing chart (single sheet with doses, other side with comments)(click here) - 0.04 MB Word file

Photo Guides on how to deliver specific intranasal medications

Intranasal sufentanil for adult pain control (click here) - 0.5 MB Word file
Intranasal fentanyl for pediatric pain control (click here) - 0.6 MB Word file
Intranasal midazolam for seizure control (click here) - 0.5 MB Word file
Intranasal oxymetazoline for epistaxis (click here) - 0.5 MB Word file

Internet based protocol documents

1. Seizure therapy with intranasal midazolam (Versed, Dormicon) (Click Here):

2. Home treatment of seizures - how to do it with intranasal midazolam (click here)

3. Pain control with Intranasal opiates (Click Here):

4. Sedation with intranasal benzodiazepines, opiates and/or ketamine (Click Here):

5. Opiate overdose therapy with intranasal naloxone (Narcan) (Click Here):

6. Epistaxis (Bloody nose) therapy with intranasal oxymetazoline (Afrin) (Click Here):

7. Pre-procedural topical anesthesia with topical lidocaine and oxymetazoline (Click Here):

8. Hypoglycemia therapy with intranasal glucagon (Click Here):