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Naloxone (Narcan) can be given three ways. Intra-nasally or by intravenous or Intra-muscular injection. If given through the nasal cavity, the dosage is 2 mg at a concentration of 1mg/mL. 1 mg in one nare, and the 2nd mg through the other nare. It should be given in a syringe with a M.A.D. device connected at the end where the needle would normally go. When administered it needs to be pushed through at a fast rate when using the M.A.D device. It can also be given through an IM injection the exact same way except using a needle and administering it at a slower rate. The full dose can be given in one single injection in the same extremity. Check your concentration because it may be .4mg/mL which will have to be calculated differently.

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Q: What is the route and dose of naloxone for an intubated pediatric pt?
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