Which statement best reflects the intranasal medications described?

• A. The intranasal medications include Narcan, Versed, Ketamine, Midazolam, Hydromorphone, and Glucagon
• B. Intranasal meds are limited to opioid antagonists
• C. Intranasal meds require IV access first
• D. Intranasal meds are only for adults

Answer: (A)

Intranasal delivery in pediatric prehospital care is about using a route that allows fast absorption of a variety of drugs without needing IV access. The statement that best reflects the intranasal medications described includes a range of drug types: Narcan for opioid reversal, Versed and Midazolam for sedation, Ketamine for analgesia or dissociative sedation, Hydromorphone as an analgesic option, and Glucagon for hypoglycemia. This demonstrates how the intranasal route is used for multiple purposes—reversal, sedation, analgesia, and glucose management—across different patient needs, not just one category of drugs.

The idea that intranasal meds are limited to opioid antagonists isn’t accurate, since several other medication classes are routinely given intranasally in the field. The notion that this route requires IV access first is also incorrect; intranasal administration is valued precisely because it can be used when IV access is challenging. And intranasal meds aren’t exclusive to adults; they’re used in pediatric patients as well.