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Annals of Emergency Medicine - Intranasal Medications

Nikita Joshi, MD, Jessica Mason, MD, and Bryan Hayes, PharmD, DABAT
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08:55
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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01:58

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EM:RAP 2017 August Summary 718 KB - PDF

For a few medications, in particular, the intranasal route is fast, effective, and does not require an intravenous line. We review indications for intranasal medications, the pharmacology, and when and why IN can be a good choice.

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Ian L., Dr -

Can the intranasal route be repeated after 5-15 minutes example treat anaphylaxis or status Asthmaticus or Status Epilepsy.
Also there is the buccal route .
Problem people with hayfever or acute URTI premodern with vasoconstrictor? Could decrease absorption .
Suction also could clear nares .

Bryan H. -

Thank you for your question and comments. A dose can be repeated after 10-15 minutes (or a large dose split into two administrations). Intranasal.net has some great information about the IN route.

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Challenging Foleys, Conversations, and Intubations Full episode audio for MD edition 245:15 min - 342 MB - M4AEM:RAP 2017 August Aussie Edition Australian 16:18 min - 22 MB - MP3EM:RAP 2017 August German Edition Deutsche 69:31 min - 96 MB - MP3EM:RAP 2017 August French Edition Français 41:16 min - 57 MB - MP3EM:RAP 2017 August Spanish Edition Español 153:43 min - 211 MB - MP3EM:RAP 2017 August Board Review Answers 234 KB - PDFEM:RAP 2017 August Board Review Questions 180 KB - PDFEM:RAP 2017 August MP3 315 MB - ZIPEM:RAP 2017 August Spanish Summary 1 MB - PDFEM:RAP 2017 August Summary 718 KB - PDF

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