jimmyd787

im a medic at a children's hospital and took a NRP class to get some of the 36 hrs/year continuing education i have to get to keep my medic license. in the class there were RN, RRT and medics teaching it and a NICU nurse said "don't give narcan to crack babies because it can cause them to have seizures" 10 years ago i would have argued with them in the class but i'm getting too old for that so i just shut up. i thought it was wrong and looked it up and found this: http://www.fda.gov/cder/foi/label/2002/16636slr054lbl.pdf NARCAN is an essentially pure opioid antagonist, i.e., it does not possess the "agonistic" or morphine-like properties characteristic of other opioid antagonists. When administered in usual doses and in the absence of opioids or agonistic effects of other opioid antagonists, it exhibits essentially no pharmacologic activity. am i missing soemthing?? jim paramedic RN student

did you ever find the study??? that makes no sense that getting a drug during childbirth would predispose one to being a drug addict as an adult. did they do a 20 year longitudinal study of these babies who got nubain as a fetus and followed them into adulthood and saw how many became drug addicts later? that just seems silly. if you can find the study or a citation of the study i'd like to read it. i see in here that nubain and/or stadol AND morphine is being given to women in labor. that makes no sense to me and if i'm misunderstanding someone please explain it to me... but.. nubain and stadol have agonist-antagonist properties and giving one of them precludes the use of morphine and other type analgesics for a while because it blocks their actions. that's why ED physicians hate these drugs so much, in the old days (10-15 years ago)in ambulances we had this drug and we used to give it and then the ED docs had to wait 30 minutes to an hour to give morphine. now we have more choices and things are better: morphine, demerol, diluadid fentanyl jim paramedic RN student