Guest guest Posted March 25, 2009 Report Share Posted March 25, 2009 We use it lots on the ski slopes of Colorado on a lot of Texan's actually and have found it to work extremely well. But I agree dosing is a little controversial. One protocol is exactly the same as IVP 1-2mcg/kg and another mountain's medical direction and experience has elected to double the normal IV dose with half thru each nostril. Jim< INTRA NASAL VERSED -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 ANYONE USING INTRA NASAL VERSED IN ADULTS? IF SO, WHAT DOSAGE AND FREQUENCY ARE YOU USING? I AM FINDING LITTLE IN THE WAY OF DOSAGE GUIDELINES. THANKS HT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2009 Report Share Posted March 26, 2009 Arlington EMS System uses intranasal Versed. The dosage for pedi patients 13 years and up and adult patients is 5 mg, with half the dose delivered to each nostril. May repeat once in 10 minutes. The maximum allowable dose is 10 mg. The doesage for pedi patients younger than 13 yrs is 0.4 mg/kg, with half the dose delivered to each nostril. May repeat in 10 minutes to max allowable dose of 5 mg. For all drugs in our protocols, if the pedi patient's weight results in a dose larger than the dose allowed for adult patients we use the adult doseage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2009 Report Share Posted March 26, 2009 MedStar EMS in Ft. Worth uses it. Our protocol is for .3mg/kg IN with a max single dose of 5 mg. May be repeated once in 5 minutes if pt. does not stop seizing. > > -----BEGIN PGP SIGNED MESSAGE----- > Hash: SHA1 > > ANYONE USING INTRA NASAL VERSED IN ADULTS? IF SO, WHAT DOSAGE AND > FREQUENCY ARE YOU USING? I AM FINDING LITTLE IN THE WAY OF DOSAGE > GUIDELINES. THANKS HT > -----BEGIN PGP SIGNATURE----- > Version: GnuPG v1.4.9 (MingW32) > Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org > > iEYEARECAAYFAknKsH0ACgkQvmeFbtdJZu+S/QCbBEbnmY9OOXP0EZNdaoIqjxCs > tJgAnRX+USE1xr6oVYg7envTCx/Jt4Mh > =hKqi > -----END PGP SIGNATURE----- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2009 Report Share Posted March 27, 2009 Intranasal Administration 1. This procedure is utilized if IV access has not been obtained or attempts are not feasible. 2. Only Certain medications (Versed, Narcan, Fentanyl and Glucagon) may be given via the Intranasal route as specified in protocols. 3. Draw medication into 1 cc or 5 cc Syringe. 4. Attach MAD (Mucosal Atomizer Device) to syringe, place into nostril and administer medication rapidly. Half dose into each nostril occluding opposing nare. 5. Document the time the medication was administered. 6. Properly dispose of the contaminated equipment. 7. Monitor the response of the patient to the medication. PROTOCOL126 PSYCHIATRIC PROTOCOL Please be aware that physically and/or chemically restraining a patient is a high-risk activity. It is imperative that law enforcement be present. Restraint is performed to prevent and/or minimize the risk of injury to the patient and caregivers. Scene safety and prevention of escalating a situation are essential. 1. SCENE SAFETY 2. Assess ABCs 3. Obtain a history 4. If patient is unwilling or unable to fully cooperate, initiate physical restraints. Note: No " hog-tying " , " hobble restraints " , prone positions, or placing anything on the anterior surface of the patient. 5. Perform blood glucose level test. If below 70, initiate Altered Mental Status protocol. 6. If Violent behavior continues, Consider Versed 2-5mg and/ or Haldol 2-5mg deep IM or IN. Patient's over 60 or other chronic illnesses consider Versed 2mg and/ or Haldol 2mg deep IM or IN. 7. Consider SpO2, End-Tidal CO2, and Continuous Cardiac Monitoring. 8. Consider Oxygen as appropriate. 9. Consider IV 0.9 NaCl or Saline Lock 10. For overdoses, see appropriate protocol. 11. Transport patient to the closest most appropriate facility. Note: Be prepared with trauma shears to immediately release restraints in the event of vomiting or sudden deterioration and proceed with appropriate protocols. Note: Minimum measures to assure patient and crew safety are imperative. This is only to be utilized to insure safe transport and care. Note: Be aware that patients with psychiatric conditions or episodes may not be able to legally refuse treatment. Lt. Steve Lemming, A.A.S., L.P. C-Shift EMS Administration Officer Azle, Texas Fire Department This e-mail is confidential and intended solely for the use of the individual (s) to whom it is addressed. Any views or opinions presented are solely those of the author and do not necessarily represent those of The City of Azle or its policies. If you have received this e-mail message in error, please phone Steve Lemming (817)444-7108. Please also destroy and delete the message from your computer. For more information on The City of Azle, visit our web site at: http://www.cityofazle.org http://www.cityofazle.org> From: texasems-l [mailto:texasems-l ] On Behalf Of H.T. FILLINGIM Sent: Wednesday, March 25, 2009 5:30 PM To: texasems-l Subject: INTRA NASAL VERSED -----BEGIN PGP SIGNED MESSAGE----- Hash: SHA1 ANYONE USING INTRA NASAL VERSED IN ADULTS? IF SO, WHAT DOSAGE AND FREQUENCY ARE YOU USING? I AM FINDING LITTLE IN THE WAY OF DOSAGE GUIDELINES. THANKS HT -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.9 (MingW32) Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org iEYEARECAAYFAknKsH0ACgkQvmeFbtdJZu+S/QCbBEbnmY9OOXP0EZNdaoIqjxCs tJgAnRX+USE1xr6oVYg7envTCx/Jt4Mh =hKqi -----END PGP SIGNATURE----- Quote Link to comment Share on other sites More sharing options...
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