Intranasal Medication

What Is Intranasal Medication?

Intranasal (IN) medication administration is a needleless drug delivery route using a Mucosal Atomizer Device (MAD) attached to a syringe to spray atomized medication mist (0.2–1.0 micron droplets) directly onto the nasal mucosa for rapid absorption into the bloodstream and central nervous system.

Why Intranasal Medication Matters on the Fireground

Intranasal delivery bypasses the need for IV access in agitated, seizing, or opioid-overdosed patients. Administering IN Naloxone (Narcan) or Midazolam (Versed) delivers life-saving drug levels in 2-3 minutes without needle-stick exposure risk.

Relevant NFPA Standards

• NREMT Standards: National Registry of Emergency Medical Technicians Practice Standards
• NFPA 455: Standard for Emergency Medical Services (EMS)

Field Procedures & Tactical Steps

1. Draw up medication using a syringe, limiting volume to 1 mL per nostril (max 2 mL total).
2. Attach the Mucosal Atomizer Device (MAD) securely onto the Luer-lock syringe tip.
3. Clear visible mucus, blood, or debris from the patient's nares using a suction tip if needed.
4. Place the soft MAD tip snugly against the nostril opening, pointing slightly upward and outward toward the ear.
5. Compress the syringe plunger rapidly to produce a fine atomized mist; repeat in second nostril if volume exceeds 1 mL.

Common Context & Application

Utilized by EMTs and paramedics for opioid overdose reversal, pediatric seizure control, pain management, and needle-phobic patient care.

Frequently Asked Questions about Intranasal Medication