Stadol and Narcan Question

  1. How many of you automatically give a baby Narcan immediately after delivery from a mother who was only given Stadol IV in labor?
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  2. 22 Comments

  3. by   sbic56
    Automatically giving Narcan because Stadol was used would be totally unnecessary. The nurse should always assess for the need for Narcan, and especially anticipate the need for it, if Stadol was given less than an hour prior delivery.
  4. by   webbiedebbie
    We never gave Narcan at delivery if mom had stadol unless baby showed symptoms. We did report to the Nursery, however, how much mom got and when she last got it.
  5. by   ShandyLynnRN
    I was under the impression that narcan didn't reverse any effects of stadol because stadol isn't an opioid.
  6. by   Jolie
    Am I living in the Twilight Zone, or was there a similar thread about Stadol and Narcan posted last week? I could swear I responded to one, and now I can't find it. I can't imagine that there would have been anything so controversial in it that it would have been removed. Please tell me I'm not nuts!
  7. by   Sable's mom
    Jolie, You're not nuts. There was a similar thread - started by one member under another member's username (mine). Brian removed it when I proved that it wasn't me that started it.
    Linda
  8. by   ShandyLynnRN
    Originally posted by lindaisanurse
    Jolie, You're not nuts. There was a similar thread - started by one member under another member's username (mine). Brian removed it when I proved that it wasn't me that started it.
    Linda
    How did THAT happen???
  9. by   Sable's mom
    We're not sure - I think it had something to do with a shared computer - the odd thing is, I haven't been at work since Dec 3 (surgery) and others had used the somputer mustiple times since then, but it seems fixed now.
  10. by   layna
    Just remember to log out when you are done and let's see if that takes care of the problem. I accidentally started that thread and did not realize that Linda was logged on to my computer at work. I have found that unless you log out, the website remembers you after the computer is turned back on. I hope that works or I will have to restrict my use of allnurses to home as I allow others to use my computer as needed. Has anyone else had this problem?
    Last edit by layna on Mar 24, '03
  11. by   Jolie
    Thanks for the information. It's good to know I'm not nuts. At least not in regards to this BB! Hope you're feeling better.
  12. by   at your cervix
    Originally posted by ShandyLynnRN
    I was under the impression that narcan didn't reverse any effects of stadol because stadol isn't an opioid.
    That is the theory, but whenever I have a "sleepy" baby at delivery after giving Stadol, I give narcan and it works everytime!
  13. by   Jolie
    at your cervix,

    What do you mean by a "sleepy baby"? Do you mean a baby with respiratory depression, or a baby who is in a period of non-reactivity: sleepy, and disinterested in feeding, making eye contact, etc.?

    Narcan is indicated in respiratory depression, but not for non-reactive newborns. That is a normal state following delivery, just inconvenient if it occurs when parents want to bond, or if a baby needs a feeding due to a low glucose. If that is why Narcan is being given to newly delivered infants, they are most likely reacting to the needle stick, rather than the med itself, and there are other less invasive measures that can be taken.
  14. by   mark_LD_RN
    JOLIE you are correct, and yep they are reacting to the needle stick

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