Adult Opiate OD

Question 1

Adult Opiate OD - Initial interventions?

Answer 1

O2 - optimize ventilation
Obtain BGL
Obtain vascular access

Question 2

Adult Opiate OD - Presents with respiratory depression or hemodynamic instability?

Answer 2

Naloxone
0.4 mg IV - PRN to max of 1.6 mg
0.8 mg IM - PRN to max of 3.2 mg
2 mg IN to max of 4 mg

Question 3

Adult Opiate OD - Preferred route of administration?

Answer 3

IV

Question 4

Adult Opiate OD - Patient safety considerations?

Answer 4

Consider restraints prior to Naloxone administration

Question 5

Adult Opiate OD - S/S of Opiate OD

Answer 5

Miosis
Hypotension
Respiratory depression
Hypothermia
Decreased LOC
Pulmonary edema

Question 6

Adult Opiate OD - Naloxone Indications

Answer 6

Reversal of respiratory depression due to opiate overdose

Question 7

Adult Opiate OD - Naloxone Dose

Answer 7

0.4 mg IV - PRN to max of 1.6 mg (4 doses)
0.8 mg IM - PRN to max of 3.2 mg (4 doses)
2 mg IN to max of 4 mg (2 doses)

Question 8

Adult Opiate OD - Naloxone Contraindications

Answer 8

Hypersensitivity