Pass conscious sedation competency

allnurses Guide · Nov 22, 2011

thanks wtbcrna. I was joking about it being politically correct. I really like your response. I go through spurts of rarely doing moderate sedation, to doing it more frequently.
Thank goodness I have never had to give narcan, so therefore kind of stress over it. I don't like the idea that the first time I give a drug it would be during a, shall we say, stressful event. I would be stressing over how to draw it up, how much to give, etc.
Hopefully (in a crisis) I can remember dilute it in 10 ml and give 1 ml until patient is breathing adequately. But how long would you wait, I know I'd be so panicked I'd immediately loose track of time and probably be giving 1 ml every 2 - 3 seconds!
Since I have you on the line, ha ha, could you expand on giving romazicon. How would you draw it up, bolus it etc?
Yes I feel like a nursing student asking you to do my homework for me!!! But honestly I will take your advice to heart. Sometimes what you read in the literature doesn't carry over to how people do it in the real world!

You need to wait at least 10-20 seconds between doses to see any results. You can always start out at 2-3ml of diluted narcan if the patient is having severe trouble or if the patient is completely apneic 4-5ml of diluted narcan will usually bring them around pretty quickly. You can always give more, but you can't take back what you have already given.

Romazicon can be diluted as well, but titrating to effect is always the best bet. Most of the time it is better to just let the drug/benzo wear off rather than give the reversal.

brownbook · Nov 22, 2011

Thanks for the info. Hopefully I will never have to use it.