UMEM Educational Pearls

Category: Toxicology

Title: Naloxone Tricks

Keywords: naloxone, opioids (PubMed Search)

Posted: 4/10/2008 by Fermin Barrueto, MD (Updated: 1/26/2022)
Click here to contact Fermin Barrueto, MD

1) No IV - Try naloxone in a nebulizer - Dose: 2-4 mg  and saline in your nebulizer container.

2) When using naloxone IV, use following dose: 0.05 mg IV - you will find it reverses the respiratory depression without inducing withdrawal. Anesthesia doses naloxone in micrograms, we often overdose our patients. The effect is delayed and not as pronounced as the 0.4 mg blast that causes nausea, vomiting, diarrhea, agitation - all not desirable in the ED.