Opiate OD Flashcards
1
Q
Opiate medications/drugs
A
dilaudid demorol morphine heroin civodin oxycontin codeine methadone
2
Q
Clinical presentation
A
resp depression mental status changes pupil constriction N/V histamine release->urticaria, bronchospasm urinary retention decreased GI motility, constipation
3
Q
Diagnosis
A
triad: miosis, resp depression, coma UDS paraphernalia found clinical effect after narcan *be aware of noncardiogenic pulmonary edema
4
Q
Differentials
A
clonidine organophosphates CO sedatives hypoglycemia hypoxia post ictal state CNS infection pontine hemorrhage
5
Q
Treatment
A
ABC’s vital
Charcoal
Narcan
6
Q
Narcan administration
A
IV, SQ, IM, intratracheally, intralingually
1 minute onset, duration 20 min
Induces withdrawal symptoms (N/V/D, anxiety)
0.4-2 mg
