Over dose simulation Flashcards
Visual t(Stage 1)Assessmen
Historical drug use as told by previous admissions or family
Sometimes poor self-hygiene, emaciated
Bedside patient contact(Stage 2)Assessment
Look and act sleepy, difficult to arrouse (ALOC)
Respiratory rate and pattern is low and shallow
Basic LAB(Stage 3)Assessment
ABGs-Often show pure respiratory acidosis and/or ventilatory failure
Monitor results of basic laboratory testing
Drug overdose
Definition
Intentional misuse or accidental overuse of medication that exceeds the recommended medical dose.
Potential loss of ventilatory drive as a result of drug overdose (Usually Narcotics)
What to expect for the simulation
The most important part of this simulation is the need for immediate intubation while recognizing that there may not be a need to mechanically ventilate until ventilatory status deteriorates
Decision Making #1
1 priority in this case is intubation to protect the airway, prevent aspiration of stomach contents, and facilitate manual ventilation.
Decision Making #1
If narcotic overdose (usually is) then use narcotic reversing medication such as Narcan (Nalaxon)
Decision Making #3
Support Ventilation until drugs are out of system