In the Pre-Hospital and ER environment there is a class of medications that are imperative to know...Antidotes.
We start with a medication whose name and use in the past decade has become common knowledge. So much so in fact, that the cost of an auto injectable two pack increased from $690 in 2014 to $4,500 in 2016. Big pharma is making a ‘killing’ off the opioid epidemic. By now you know, we are talking about Narcan!
Narcan acts as a non-selective and competitive opioid receptor antagonist. Simply put, it takes the place of the opiate on the receptor sites within the body. With the opiates unable to bind, the body no longer experiences the life-threatening symptoms, such as respiratory arrest, an overdose would produce.
Even better is that Narcan has no contraindications to its use. If given to a patient who has not taken opiates, nothing occurs. Conversely, when given to a patient with opiates on board, sudden withdrawal symptoms occur. These include body aches
Fever, diaphoresis, nausea, vomiting, tremors, stomach cramps, fatigue, increased blood pressure, tachycardia, and of course irritability. Oh the times I have been yelled at for “ruining someone’s high”.
Narcan can be administered intranasally (2-4mg), intramuscularly (2-4mg) or intravenously (0.2-0.4mg). These doses can be repeated of no reversal occurs, per protocol, until it does. Years ago it was actually unheard of to give more then 0.4mg of Narcan IV. Today, with Carfentanyl, Heroin and the mixture of these agents with synthetics, some agencies skip right ahead to 2-4mg IV. Narcan drips in the ER and ICU are becoming common place in the Midwest and East coast where the Opioid epidemic is especially severe.
Today, Narcan is actually more accessible then the EpiPen. Thirty-seven states and growing allow you to purchase Narcan directly over the counter from a pharmacist without a prescription! Police officers in twenty-eight states carry and are trained in its use! And those who are prescribed a large dose of opioid or a moderate dose accompanied by a benzo are also prescribed Narcan!
What do you think about the availability of Narcan today? And the price increases? Comment/Share Below
Every day I surround myself with super incredible women, I mean SUPER SUPER INCREDIBLE WOMEN who live their lives to be their very best! They are committed and positive, they eliminate all excuses, they train like ancient warriors, they never quit, stop or slow down, their mindset is 100% laser focused on getting stronger and they push through no matter how hard it gets with a smile on their faces!
There’s so many studies out now reporting how this kind of environment and training greatly effects the brain in positive ways.
There is a drastic difference between a brain that’s exposed to a positive life vs a life full of complaining, sadness and confusion!
I believe the reason why I can operate my life so seem-less and multi task, being a mom a wife, a gym owner and trainer, run a 7 figure a year biz and keep my s@%t together is for this exact reason and having a healthy brain is just as important if not more having a healthy body!
Training and surrounded with positive super women for most of my life is paying off and because my mind goes in a million directions all day long and I keep right up with it all! Healthy mind and body is so important, you can’t have one without the other! .
It’s time for a FLASH giveaway. Just in time for the TpT Bonus Back to School Sale tomorrow! Enter for a chance to win a $90 gift card and clear off that wish list!
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PHOTOGRAPHER | @moniafili
Se la libreria "cult" di Venezia si chiama "Acqua Alta", un motivo c'è. Si trova al pianterreno di un edificio con una parete che dà a un canale e, come da tradizione veneziana, ha la sua "porta d'acqua". Ma se la marea cresce più del normale, invade lo spazio interno. Così i libri sono posizionati in una vecchia gondola, in una vasca da bagno, in una tinozza. Esempio di senso pratico e fantasia tipicamente veneziani.
Testo by @claudia_mimejorvenecia .
If the “cult” Venetian bookstore is named “Acqua Alta”, there is a reason. It is positioned on the ground floor of a building with a side that gives on the canal and, accordingly to the Venetian tradition, it has its door on the water. But if the tide raises more than normal, it invades the interior. For this reason many books are placed in a gondola, in a vat, in a bath tub. Examples of typical Venetian pragmatism and imagination.
English translation by @lostinvenicetours .
Si la librería “cult” de Venecia se llama “Acqua alta” hay una razón. Se encuentra en la planta baja de un edificio con una pared que da al canal y, según tradición veneciana, tiene su “puerta de agua”. Pero si la marea crece más de lo normal invade el interior. Así, pues, muchos libros están dentro de una vieja góndola, en una bañera, en una tina. Ejemplo de sentido práctico y fantasía típicamente venecianos.
P I C O F T H E D A Y
Aug 20, 2018
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