Overdose CPGs Flashcards
when should paramedics contact police in regards to an overdose?
in professional opinion the pt appears to be a victim or increased risk of
- smiley violnce
sexual exploitation
or if supplied by parent/guardien
other evidence of child abuse
when must a patient be transported to hospital?
if OD taken as a suicide attempt
what supportive care should be provided to all overdose paitents?
airway managment and ventilatory support
- hypoglycaemia, bradycardia, inadequate perfusion, hypo/hyperthermia
what further assessments - clinical evidence needs to be gathered?
- identify the substance involved/collect packes
identify route
time taken
amount taken
what substances mixed with
establish if any treatment initiated - ie induced vomiting
what opioids can be treated under the opioid od guideline?
heroine, morephine, codeine, other
what opioids fall under the other oipiod arm of the CPG?
- prescription- oxycodone, morphine, fentynal, methadone
iatrogenic
polypharmacy
unknown
what is the aim of administering naloxone to other opiod overdoses?
return to adequate ventilation - complete reversal of symptoms not recommended
what should be sone after 10 minutes if there is no response to naloxone?
transport without delay
what is the treatment for a heroin overdose?
assist ventilations/airway
naloxone 1.6-2mg IM
adequate response- treat and refer pathway
inadequate response - transport without delay
consider SGA/intubation - MICA
what is the action for other opiod overdose?
airway-ventilation
naloxone 100mcg IV every 2 minutes until pt self ventilating max 2mg
if no IV0 naloxone 400mcg IM single dose
consider SGA/intubation-MICA and transport without delay
what should be done in hyperthermic psychostimulant OD?
intervention/managment of agitation initiated early to assist with cooling/avoid further increase in temp associated with agitation
what should be done for sedative agents?
manage agitation and inadequate perfusion
what is the managment of psychostimulant overdoses?
reduce stimuli by calming environment
seizures, ACS, hyperthermia, hypothermia, agitation/delerium
what are the mild to moderate sings of TCA toxicity?
drowsiness, confusion, tachycardia, slurred speech, hyperreflexia, ataxia, mild hypertension, dry mucus membrane, respiratory depression
what are the severe sings of TCA toxicity?
Coma
respitroy depression
conduction delays
PVCs, SVT, VT, hypotension, seizures, ECG changes
