Pediatric Opiate Overdose

Question 1

Pediatric Opiate OD - Initial actions?

Answer 1

Airway management
O2
BGL
Vascular access

Question 2

Pediatric Opiate OD - Pt presents with respiratory depression or hemodynamic instability?

Answer 2

0.1 mg/kg IM/IN/IV/IO to single max of 2 mg

IM/IV/IO: q 2 min to total max of 10 mg
IN: q 5 min total max of 4 mg

Question 3

Pediatric Opiate OD - Common signs of opiate OD

Answer 3

Miosis
Hypotension
Respiratory depression
Hypothermia
Decreased LOC
Pulmonary edema

Question 4

Pediatric Opiate OD - Naloxone indications

Answer 4

Reversal of respiratory depression due to opiate overdose

Question 5

Pediatric Opiate OD - Naloxone dose

Answer 5

0.1 mg/kg IM/IN/IV/IO to single max of 2 mg

IM/IV/IO: q 2 min to total max of 10 mg
IN: q 5 min total max of 4 mg

Question 6

Pediatric Opiate OD - Naloxone EMS contraindications

Answer 6

Hypersensitivity

Question 7

Pediatric Opiate OD - Naloxone precautions

Answer 7

IV/IO preferred route
Watch for return of opiate OD due to duration of naloxone
Consider shock protocol if required