Intranasal (IN) Medication Administration MBED Clinical Practice Guideline

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This guideline explains how to give medicine through the nose when IV access is not possible, such as for pain, anxiety, or seizures. It lists common medicines like fentanyl and midazolam, explains doses and steps for safe use with a mucosal atomization device (MAD), and notes that no more than 1 mL should go in each nostril. It also covers side effects like mild burning and reminds providers to monitor patients closely. The guideline says intranasal medicine works quickly but may not be enough for deep sedation unless higher doses or combinations are used.

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Tags

Focus Area: Everyday Emergency

Audiences: EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Response

Keywords: Pain Management; Practice Guideline; Analgesia

Institutions: Mary Bridge Children’s Hospital

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The information provided on this website is for educational purposes only. It does not substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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