Intranasal Naloxone Protocol

Procedure

1. Assess ABC’s – Airway, Breathing, Circulation
2. For pulseless patients, proceed to ACLS guidelines
3. Apnoea 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 atomised spray
7. Remove & repeat in other nostril, so all 2 ml (2 mg) of Naloxone are administered
8. Continue ventilating patient as needed
9. If no arousal occurs after 5-10 minutes, proceed down standard unconscious protocol including injectable Naloxone and secure airway if necessary.