CPG - A0707 - Overdose

Question 1

what are the ategories under the overdose CPGS?

Answer 1

• opioids
• TCA antidepressants
• Sedatives
• Psychostimulants

Question 2

How do you manage a heroin overdose?

Answer 2

Assist and maintain airway
- Naloxone 1.6mg - 2mg

If adequate response
- consider transport or treat and refer

If inadequate response:
- Transport
COnsider SGA

Question 3

How to you treat other opiod overdose?

Answer 3

Assist and maintain airway

• Naloxone 100mcg IV
• > repeat Naloxone 100mcg IV @ 2 mins (Max 2mg) until pt is self-ventilating

IF NO IV ACCESS
Naloxone 400mcg IM single dose

Question 4

What should be actioned early with Hyperthermic psychostimulant OD?

Answer 4

Early sedation to regulate temperature

Question 5

How do you manage sedative agent OD?

Answer 5

Airway mgmt

• manage agression as per agitation cpg
• manage perfusion as per inadequate perfusion cpg

Question 6

How do you manage psychostumulant OD?

Answer 6

Reduce stimuli

• Mx seizures
• Mx cardiac chest pain
• Mx temperature
• Mx agitation

Question 7

what are the signs and symptoms of TCA overdose?

Answer 7

Mild to moderate OD:

• Drowsiness, confusion
• tachycardia
• slurred speech
• hyperreflexia
• ataxia
• mild hypertension
• dry mucous membranes
• respiratory depression

Severe toxicity:

• coma
• respiratory depression
• hypoventilation
• PVCs
• SVT
• VT
• Hypotension
• Seizures
• ECG changes

Question 8

What can TCA overdose lead to?

Answer 8

Aspiration
Hyperthermia
Rhabdomyolysis
APO

Question 9

What are the signs of TCA toxicity?

Answer 9

QRS >0.12 sec
Hypotension
Ventricular arryhtmias

Question 10

How do you treat TCA toxicity?

Answer 10

MICA

sodium bicarbonate 8.4% 100ml IV @3mins

Question 11

What PAED management is provided for Opiod OD?

Answer 11

Naloxone 10mcg/kg IM
(Max 400 mcg)

Rpt after 10 mins if required