Narcan administration is contraindicated in which condition?

Narcan administration is contraindicated in which condition?

• A. Opioid overdose with respiratory depression
• B. Hypotension
• C. Seizure disorder
• D. Cardiac arrest

Answer: (D)

The main idea is that naloxone reverses the effects of opioids by blocking their action at receptor sites, so it’s used to treat opioid overdoses presenting with respiratory depression. In a patient who is in cardiac arrest, the priority is high-quality CPR and ACLS interventions, not reversal of opioid effects. Administering naloxone during a code offers no proven benefit for restarting the heart and can distract from essential resuscitation steps. If there is known or suspected opioid involvement, naloxone may be considered in that context, but as a routine maneuver during cardiac arrest it’s not indicated.

The main idea is that naloxone reverses the effects of opioids by blocking their action at receptor sites, so it’s used to treat opioid overdoses presenting with respiratory depression. In a patient who is in cardiac arrest, the priority is high-quality CPR and ACLS interventions, not reversal of opioid effects. Administering naloxone during a code offers no proven benefit for restarting the heart and can distract from essential resuscitation steps. If there is known or suspected opioid involvement, naloxone may be considered in that context, but as a routine maneuver during cardiac arrest it’s not indicated.