*Opiate overdose Flashcards
1
Q
What are some symptoms of opioid overdose?
A
- reduced GCS
- reduced work of breathing
- cardiovascular impairment
- pinpoint pupils
- hypotonia
- type 2 resp failure
2
Q
What are some symptoms of opioid overdose?
A
- reduced GCS
- reduced work of breathing
- cardiovascular impairment
- pinpoint pupils
- hypotonia
- type 2 resp failure
- reduce RR, GCS, pinpoint pupils
3
Q
What is the antidote to opioid overdose?
A
Naloxone
4
Q
What clinical signs indicate that the opioid toxicity needs reversing?
A
- GCS threatening airway patency
- abnormal breathing pattern
- type 2 resp failure
- falling GCS
5
Q
What is the management of opioid overdose?
A
6
Q
What is the naloxone regimen in opioid overdose?
A
If warning signs –>
Naloxone 0.4mg titrated to effect –> if symptoms relapse within 1hr then naloxone 10mg in 50ml dextrose (60% given/hr)
7
Q
What are the contraindications to giving naloxone?
A
- head injury
- epilepsy
- multi-drug /unknown overdose
- cardiac arrhythmia (methadone)
