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Nitrous Oxide (Nitronox®) (optional medication – not required in every BioTel agency)

Class: Gaseous Analgesic/Anesthetic
Route: Inhalation

Adult and Pediatric Dose:

Instruct patient to inhale deeply through patient-held mask or mouthpiece
Drug Action:
  • Depresses the central nervous system
  • Increases oxygen tension in the blood thereby reducing hypoxia
Onset: 2 minutes - 5 minutes
Duration: 2 minutes - 5 minutes
Indications:
  • Adjunct analgesic for ischemic chest pain
  • Severe pain or discomfort in all patients without contraindications
Precautions:
  • Must be self administered
  • Check machine gauges daily for proper concentrations
  • Monitor blood pressure and pulse oximetry values during administration
Side Effects:
  • Hypotension
  • Dizziness
  • Nausea and vomiting
Contraindications:
  • Any altered level of consciousness or head injury
  • Chronic obstructive pulmonary disease
  • Chest trauma or actual/suspected pneumothorax
  • Abdominal trauma
  • Major facial trauma
  • Acutely psychotic patients
  • Pregnancy, other than active labor
  • Any patient (adult or pediatric) unable to self-administer
  • Decompression sickness

 

 

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