The duration of action of some opioids may exceed that of naloxone, therefore repeat doses may be required. Monitor patient closely.
Pediatric Advanced Life Support
Go to PALS CalculatorAntidote
Go to Atlantic Canada Poison Centre Antidote Kit for information on antidote dosingPartial reversal
*See "Comments" for additional info regarding route of administration options
Full reversal
*See "Comments" for additional info regarding route of administration options
Opioid Induced Pruritus
IV Continuous
Ordered as: ____microgram/kg/hour
Loading dose
None
Initial Dosing
0.25 microgram/kg/hour
Suggested Titration
0.25 microgram/kg/hour
Usual Range
0.25-0.5 microgram/kg/hour
Maximum
0.5 microgram/kg/hour. Must consult APS if exceeding this dose.
*If IV route not available, may administer same dose subcutaneous, intramuscular. Consideration of maximum volumes/injection via each route may need to be considered.