Opioid Toxicity Medical Directive Flashcards

1
Q

Opioid Toxicity MD

What are the indications for the opioid toxicity MD?

A

Altered LOC;
AND
Respiratory depression;
AND
Inability to adequately ventilate OR persistent need to assist ventilations;
AND
Suspected opioid overdose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Opioid Toxicity MD

What are the indications for the opioid toxicity MD?

A

Altered LOC;
AND
Respiratory depression;
AND
Inability to adequately ventilate OR persistent need to assist ventilations;
AND
Suspected opioid overdose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Opioid Toxicity MD

What are the conditions for naloxone administration?

A

Age: ≥24 hours
LOA: Altered
RR: <10 breaths/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Opioid Toxicity MD

What are the contraindications to naloxone administration?

A

Allergy or sensitivity to naloxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Opioid Toxicity MD

What is the order of preference for naloxone administration?

A

IV/IM/IN/SC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Opioid Toxicity MD

What is the dose for naloxone IV?

A

Up to 0.4 mg, dosing interval 5 min, max 3 doses. (Titrate to restore respiratory status only)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Opioid Toxicity MD

What is the dose for naloxone IM?

A

0.4 mg, dosing interval 5 min, max 3 doses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Opioid Toxicity MD

What is the dose for naloxone IN?

A

2-4 mg, dosing interval 5 min, max 3 doses. (Divide dose between nares)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Opioid Toxicity MD

What is the dose for naloxone SC?

A

0.8 mg, dosing interval 5 min, max 3 doses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Opioid Toxicity MD

If the patient doesn’t respond to airway management and the administration of naloxone, what should be considered?

A

Glucometry.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Opioid Toxicity MD

Can we patch for more doses?

A

Yes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Opioid Toxicity MD

What kind of behaviour should be anticipated after naloxone administration?

A

Combative behaviour should be anticipated following naloxone administration, and paramedics should protect themselves accordingly, thus the importance of gradual titrations (if given IV) to desired clinical effect: respiratory rate ≥10, adequate airway and ventilation, not full alertness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly