The only reasonable explanation I can think of is ability
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The idea is to restore respiration rate and SpO2 to normal ranges without completely pulling them out of it. Narcan essentially rips the opiates/opioid off the receptor, putting them into immediate withdrawal. People typically don’t like that and will often become violent because you “ruined” their high, nevermind the fact that you just saved their life. If you’ve ever had a battle royale with a pissed off junkie in the back of a tin can on wheels going 70MPH, you’d understand why we don’t want that. I assure you, it is not fun.
What we do, at least for the services I’ve worked for, is instead of administering a full 2mg dose, we would titrate it up by 0.2mg doses until the patient is capable of breathing adequately on their own. This could be 0.2mg or 0.8mg or 1. 4mg. just depends on the patient and circumstances.
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