Props to Narcan

[DrQuinn]

Just wanted to give some love to my homey Narcan, always a source of a smile for me in the ED when I give it.



Q, DO

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[ERMudPhud]

Just wanted to give some love to my homey Narcan, always a source of a smile for me in the ED when I give it.



Q, DO

Ever tried Revex-sort of like the Cialis of opiod antagonists. One of the private hospitals I used to work at gave the heroin OD's a shot of Revex before discharge and told them on their discharge instructions not to even bother trying to get high for the next 24 hours.

 

[flighterdoc]

Just wanted to give some love to my homey Narcan, always a source of a smile for me in the ED when I give it.



Q, DO

When I was on the ambulances we were supposed to give Narcan boluses - except, of course, the abusers would wake up quite distressed that we had screwed up their $200 high.

After a couple of incidents where we had to take extraordinary steps to protect ourselves from these fine examples of society, we (the medics) decided we'd titrate the dose to just enough to keep the SOB breathing, but out. I ruined a perfectly good mag-lite before we came up with that idea.

 

[docB]

I have found that narcan can work even in pts who have not taken any narcotics. I think it might be related to the principle that causes many of my patients to get a BAL of >300 from 2 beers.

 

[Sessamoid]

I have found that narcan can work even in pts who have not taken any narcotics. I think it might be related to the principle that causes many of my patients to get a BAL of >300 from 2 beers.

or get pregnant without ever engaging in intercourse.

 

[docB]

or get pregnant without ever engaging in intercourse.

I have treated many in the immaculate conception crown. Apparently it happens more frequently now that in the past. Maybe that's why I also see so many people claiming to be Jesus.

 

[Sessamoid]

I have treated many in the immaculate conception crown. Apparently it happens more frequently now that in the past. Maybe that's why I also see so many people claiming to be Jesus.

A lot of people in America these days are actually named "Jesus", too.

 

[Febrifuge]

This thread neatly sums up why I'm fairly certain I will go into EM.

 

[southerndoc]

I have found that narcan can work even in pts who have not taken any narcotics. I think it might be related to the principle that causes many of my patients to get a BAL of >300 from 2 beers.

Yea, you'd think the government would require standardization of alcohol content in beer. I mean when I drink two beers, I'm nowhere near as intoxicated as all the goons I see in the ED who "just had two beers." Apparently they luck out and get the high alcohol beers. Are they specially marked in stores?

 

[southerndoc]

or get pregnant without ever engaging in intercourse.

There's an epidemic of that... spontaneous conception. We're actually writing a case series to be published.

 

[Apollyon]

Yea, you'd think the government would require standardization of alcohol content in beer. I mean when I drink two beers, I'm nowhere near as intoxicated as all the goons I see in the ED who "just had two beers." Apparently they luck out and get the high alcohol beers. Are they specially marked in stores?

Those beers are in stores that are on the corner where the "two dudes" hang out. There's a church and prayer room right next door, full of people that stopped in the store first, before going to the prayer meeting, minding their own business.

 

[docB]

Just mentioning Narcan around some of your more experienced users may make them AMA. I had a patient who was faking a seizure and I asked the nurse to get some Narcan and the pt, who kept up her bogus shaking the whole time, yelled "Don't you get none 'o that Narcan s--t around me!"

 

[Seaglass]

crown

Freudian slip perhaps?

 

[Apollyon]

When I was on the ambulances we were supposed to give Narcan boluses - except, of course, the abusers would wake up quite distressed that we had screwed up their $200 high.

After a couple of incidents where we had to take extraordinary steps to protect ourselves from these fine examples of society, we (the medics) decided we'd titrate the dose to just enough to keep the SOB breathing, but out. I ruined a perfectly good mag-lite before we came up with that idea.

That's an old, old trick, and I never, EVER had to strike a patient on the bus - EVER. We had Narcan 2mg by protocol, and we would give 1mg (or less), titrate to respirations, then shoot the remaider in while rolling in to the ED. I only had to do this once in my long career, but a buddy of mine made the mistake as a new medic of giving the 2 all at once, and the pt seized. Lovely.

 

[docB]

Freudian slip perhaps?

Dang! Now I shouldn't go back and edit my typo.

 

[southerndoc]

Those beers are in stores that are on the corner where the "two dudes" hang out. There's a church and prayer room right next door, full of people that stopped in the store first, before going to the prayer meeting, minding their own business.

Yep, always "sum dude" shot me and "two dudes" jumped me. Never is it "sum dude" jumped me. Guess the victim is always too bad to get whipped by just one dude.

 

[leviathan]

Just wanted to give some love to my homey Narcan, always a source of a smile for me in the ED when I give it.



Q, DO

Silly question but....is naloxone another name for narcan, or just a similar acting drug? Naloxone is the recommended drug I was told to administer for suspected overdoses in an online (ie., knowledge only and no practical) ACLS course I just took...

 

[Sessamoid]

Silly question but....is naloxone another name for narcan, or just a similar acting drug? Naloxone is the recommended drug I was told to administer for suspected overdoses in an online (ie., knowledge only and no practical) ACLS course I just took...

"Narcan" is the American trade name for the generic medication naloxone. So, yes, it's the same thing.

 

[DrQuinn]

Anyone have any good nicknames or streetnames for Narcan? I always like initially saying "B-52" or some other name instead of the correct drug names... makes me feel like a weathered attending.

Q, DO

 

[roja]

I find narcan to be very very useful in clearing out the ED. Case in point: last weekend, we got an OD. breathing but apparantly out. Nurse said she was goign to get the Narcan, patient jumped out of the bed and ran out of the ED.

Works all the way from the pyxis.

 

[docB]

Anyone have any good nicknames or streetnames for Narcan? I always like initially saying "B-52" or some other name instead of the correct drug names... makes me feel like a weathered attending.

Q, DO

Where I am a B-52 is Benadryl 50, Haldol 5 and Ativan 2 all IM. This became the jackass cockatail when good old Vitamin D (Droperidol) was cut off at the knees by the FDA.