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Doctor insights on: Narcan In Cardiac Arrest

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Dr. William Walsh Dr. Walsh
Addiction Medicine
13 years in practice
Indiana University School of Medicine
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Can administration of Narcan (naloxone) in a cardiac arrest victim be helpful?

Can administration of Narcan (naloxone) in a cardiac arrest victim be helpful?

In opiate overdose: But that is often late in the game, as your brain is much more sensitive than your heart to the lack of oxygen, and the arrest is likely to go poorly.

Dr. Creighton Wright
3,964 Doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more


Dr. William Walsh Dr. Walsh
Addiction Medicine
13 years in practice
Indiana University School of Medicine
2

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Can i.M. Administration of Narcan (naloxone) in a cardiac arrest victim be helpful?

Can i.M. Administration of Narcan (naloxone) in a cardiac arrest victim be helpful?

IM not so much: Narcan (naloxone) can reverse respiratory depression caused by opiate overdose, but if that has lead to a respiratory arrest causing cardiac arrest, the IV form would be much more useful, and only useful then when circulated by chest compressions.

Dr. Sue Ferranti Dr. Ferranti
Internal Medicine
25 years in practice
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Is it possible that im administration of Narcan (naloxone) in a cardiac arrest victim be helpful?

Is it possible that im administration of Narcan (naloxone) in a cardiac arrest victim be helpful?

Narcan (naloxone)....: Narcan (naloxone) reverses the effects of a narcotic overdose. So, if the cardiac arrest is thought to be due to a narcotic overdose, then Narcan (naloxone) can be tried. Whether or not it will be effective depends on many factors including how long the person has been without a heartbeat, whether CPR has been done, etc. If the brain has been without oxygen for too long, Narcan (naloxone) will not reverse this brain injury.

Dr. Karen Sibert Dr. Sibert
Anesthesiology
35 years in practice
Baylor College of Medicine
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Will Narcan (naloxone) reverse opiate overdose after cardiac arrest has occurred?

Will Narcan (naloxone) reverse opiate overdose after cardiac arrest has occurred?

Probably not: Narcan (naloxone) will reverse respiratory arrest. This means that if a person has stopped breathing due to an overdose of Oxycontin or heroin, for example, Narcan (naloxone) can bring back the drive to breathe. If the person doesn't breathe for a long time, though, the heart will stop, which is called cardiac arrest, due to lack of oxygen. Narcan (naloxone) won't fix that. This is why narcotic abuse is so dangerous.

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Dr. Michael DePietro Dr. DePietro
Internal Medicine - Pulmonary Critical Care
31 years in practice
Hahnemann Medical College
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Will Narcan (naloxone) reverse an opiate overdose once cardiac arrest has occurred?

Will Narcan (naloxone) reverse an opiate overdose once cardiac arrest has occurred?

Not completely: Narcan (naloxone) can reverse a narcotic overdose to a point. If someone takes a narcotic overdose, and it is enough to stop breathing, the lack of oxygen and rise in carbon dioxide can cause the heart to stop (cardiac arrest) at that point simply reversing the effect of the narcotic that started the process is not enough, one take additional measures to restore a pulse and resuscitate the patient.

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Dr. Dennis Clifford Dr. Clifford
Internal Medicine - Pulmonary Critical Care
39 years in practice
University of Minnesota Medical School
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Will Narcan (naloxone) still reverse opiate overdose once cardiac arrest has occurred?

Unclear: Usually breathing stops with opiate overdose and then cardiac arrest occurs. Reversing with Narcan (naloxone) may allow breathing to restart, but the cardiac arrest would still have to be treated with CPR and usual measures. Depending on the duration of cardiac arrest attempts may or may not be successful, thus the uncertainty.

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Dr. John Garner Dr. Garner
Internal Medicine - Cardiology
12 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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Is it possible for Narcan (naloxone) to reverse opiate overdose once a cardiac arrest has occurred?

Is it possible for Narcan (naloxone) to reverse opiate overdose once a cardiac arrest has occurred?

Yes: It is indeed possible. In fact, this is precisely the point of the medication. Once a cardiac arrest has begun, however, removing the effect of the opiate does not necessarily guarantee the end of the cardiac arrest. Often, additional treatment is required.

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Dr. Michael DePietro Dr. DePietro
Internal Medicine - Pulmonary Critical Care
31 years in practice
Hahnemann Medical College
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Is cardiac arrest a painful way to go?

Is cardiac arrest a painful way to go?

No: People who experience cardiac arrest usually lose consciousness very rapidly so in general would not feel a lot of pain.

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Dr. Michael Moran Dr. Moran
Internal Medicine - Cardiology
29 years in practice
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Recomedition for a cardiac arrest diet?

Recomedition for a cardiac arrest diet?

Depends on: Why you had the cardiac arrest. If due to coronary artery disease, you should avoid simple carbs and get plenty of aerobic exercise. Look at lowglycemicindex. Com. Also avoid caffeine and stimulants. If another cause, like hocm, valve disease, arrhythmogenic right ventricular dysplasia or some other cause, look to treat the underlying cause first.

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Dr. Seth Akst Dr. Akst
Anesthesiology
17 years in practice
Case Western Reserve University School of Medicine
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Question: what is cardiac arrest really?

Question: what is cardiac arrest really?

Stopped heart: Cardiac arrest occurs when the heart stops pumping blood forward. The stoppage is usually due to to a change in the heart's electrical rhythm that prevents the muscle cells from squeezing in an organized fashion. Cardiac arrest can also occur with a normal heart rhythm, if the heart is too weak to pump blood or too empty to have blood to pump. In any case, immediate resuscitation is needed.

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Dr. Michael DePietro Dr. DePietro
Internal Medicine - Pulmonary Critical Care
31 years in practice
Hahnemann Medical College
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Describe the features of cardiac arrest.?

Describe the features of cardiac arrest.?

Heart stops: Cardiac arrest is when the heart stops beating effectively. The heart actually ceases to beat or the heart has other electrical rhythm disturbances in which the heat no longer can work as a pump. Because of the lack of blood flow to the brain, patients become comatose, and stop breathing. Unless the condition is reversed quickly, death follows. CPR can provide some protection until help arrives.

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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What are symptoms or signs of cardiac arrest?

What are symptoms or signs of cardiac arrest?

Heart disease: A cardiac arrest patient will rapidly lose consciousness, no pulse, no audible heart tones, no response to stimuli, the patient will also rapidly lose spontaneous respiration.

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Dr. Sue Ferranti Dr. Ferranti
Internal Medicine
25 years in practice
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Is it possible to have cardiac arrest & lived?

Is it possible to have cardiac arrest & lived?

Yes......: During a cardiac arrest, the heart stops contracting so that there is no blood being circulated to the organs. Cardiopulmonary resuscitation is performed to restore contractility. If successful, the person survives. The longer it takes to "re-start" the heart, the more likely there will be residual effects, like brain injury due to decreased oxygen to the brain during the arrest.

Dr. Anatoly Belilovsky Dr. Belilovsky
Pediatrics
31 years in practice
University of Connecticut School of Medicine
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Is having a cardiac arrest a painful way to die?

Is having a cardiac arrest a painful way to die?

Not particularly.: It's more like a fainting spell without recovery.

Dr. Liesa Harte Dr. Harte
Family Medicine
25 years in practice
University of Texas Medical School at San Antonio
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How to tell if these are signs of cardiac arrest?

How to tell if these are signs of cardiac arrest?

Cardiac arrest: Cardiac arrest means the heart stops. Unfortunately, cardiac arrest is too often the first "symptom" of coronary artery disease. Think James Gandolfini, for example.

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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Someone had a cardiac arrest infront of me, what could I have done?

Someone had a cardiac arrest infront of me, what could I have done?

CPR: Take a cprcourse so you know how to help in that situation. Learning CPR is not difficult and neither is using an automated defibrillator if available.

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Dr. Carlos Orrego Dr. Orrego
Internal Medicine - Cardiology
24 years in practice
University Institute of Health Sciences, H. A. Barcelo Foundation
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Could zpac cause cardiac arrest?

Could zpac cause cardiac arrest?

Macrolides: Zpac belongs to a class of medications called macrolides which have been associated with malignant arrhythmias and sudden cardiac death. However, Zpac uses a different pathway for its metabolism and supposed to be safer to use.

Dr. Pareena Bilkoo Dr. Bilkoo
Internal Medicine - Cardiology
18 years in practice
Bangalore University, M. S. Ramaiah Medical College
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Can pvcs ever lead to cardiac arrest?

Can pvcs ever lead to cardiac arrest?

PVC's: Single and couplet pvcs majority of the time are benign. Cardiac arrest is very unlikely.

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Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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Can mulitfocal pvcs lead to cardiac arrest?

Yes: If a PVC hits in the wrong area of rhythym ventricular tachycardia or fibrillation can be induced. It is an infrequent occurrence but is possible.

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Dr. Asaf Presente Dr. Presente
Internal Medicine - Pulmonary Critical Care
12 years in practice
Northwestern University Feinberg School of Medicine
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How can I prevent hypovolemic cardiac arrest?

How can I prevent hypovolemic cardiac arrest?

Stay hydrated: Hypovolemic cardiac arrest is rare - usually from trauma (alot of blood loss all at once). In general, a person should try to stay "euvolemic" - not too much fluid on board and not too little - dehydration. But even a fairly dehydrated person is more likely to have cardiac issues from blood electrolyte issues and not from hypovolemia.

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Dr. Marvin Ott
5 Doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more


Dr. Patricia Foster
2 Doctors shared insights

Cardiac Arrest (Definition)

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