heroin OD treat and refer CPG

Question 1

what do studies say about risk of OD and recovory?

Answer 1

low risk if recovered from single dose of narcan

• not the same for other opiods due to short action of narcan

Question 2

if a paitent has had heriorin and other substances what to do?

Answer 2

they will liley need monitoring in hospital

Question 3

what evidence can confirm isolated heroin OD?

Answer 3

presence of heroin
or infomration from pt or bystanders

Question 4

what to do if a pt is resistencet to transport/care even if they need it?

Answer 4

still give health sheets and advice as rapport permits

Question 5

when can you not proceed?

Answer 5

• not a full recovry gsc <15 or rr <10
  needed 2cnd dose naloxone
• confimred other opiod used than heroin
• potential other substances ie benzos, alcohol, sedatives
• other factors contributing to altered concious ie bgl, trauma, infection
• suspected/reported seizure
• apo or aspiration
• pregnancy
• risk to self or others

Question 6

what needs to be assesed?

Answer 6

chest clear?
spo2 >94% RA
fully recovered and can be supervised for 4 hours by responsible adult

Question 7

what to be done if leaving pt?

Answer 7

advise not to retake in 6 hours due to relapse
advise not self sedative- ie alchol, benzos antisphycotics whule still drug effected
advise of local support if avalible and approapiriate
proved health sheet
make sure they understand information

Question 8

if the pt has recovered but has no supervision what should be sone?

Answer 8

advicse transport to priamry care or drug/alch support

Question 9

what is prefered if there is resp comprimise?

Answer 9

transport to the ed
if refuses try to take to drugalch support