haz mat 18/FENTANYL INCIDENTS

Question 1

SYMPTOMS of Fentanyl exposure:

Answer 1

• pinpoint pupils
• slowed heart rate (bradycardia)
• hypoventilation (SLOW, SHALLOW BREATHING)
• respiratory arrest
• low bp

Question 2

medical treatment should NEVER take place in area of suspected exposure ..

Answer 2

removal of patient from area and removal of product from the patient’s skin and clothing is paramount

Question 3

Officer should..

Answer 3

REQUEST ADVANCED LIFE SUPPORT

Question 4

If overdose is STRONGLY SUSPECTED and patients respiratory rate is less than 10 minute, administer intra-nasal NALOXONE, via:

Answer 4

1. MUCOSAL ATOMIZER DEVICE (MDA)
   A. adult- 1 mg in each nostril (total of 2 mg)
   B. pediatric -.5 mg in each nostril (total of 1 mg)

or

NARACAN /NASAL SPRAY
1. ADULT and PEDIATRIC patients : 4 mg in ONE nostril, if , after 2-3 minutes there is no or minimal response, repeat administration of 4 mg, with 2nd device in OTHER NOSTRIL

if after 5 minutes patient’s respiratory rate is NOT GREATER than 10/min, administer repeat does of naloxone, following same procedure

Question 5

PERSONAL DECONTAMINATION..

Answer 5

• areas of direct skin contact with any residue suspected of containing synthetic opioids should be IMMEDIATELY WASHED WITH COPIOUS amounts of water, then asap wash skin with soap and water
• avoid alcohol based hand disinfections or hypochlorite bleach solutions
• shower immediately

Question 6

decon PPE..

Answer 6

LIGHTLY WET (sprayed just enough to wet the gear and not DRIP ), then bagged for proper decon

Question 7

all clothing and work duty uniform …

Answer 7

LAUNDERED

–decon items bagged using a double sealed clear plastic bag with label attached