poisonning/overdose

Question 1

do you induce vomit with ingestion of poison

Answer 1

Do not induce vomit unless told to do so by Poison Control. If indicated to do so

Question 2

Do not induce vomit unless told to do so by Poison Control. If indicated to do so

Answer 2

Emetic: There is a risk of vomiting if patient later loses consciousness (no gag reflex)
Dilution: H20 / Milk ( 2 x 8 onz. glasses) Absorb: Activated charcoal
Antidotes: Sometimes available
Go to Emergency Room?

Question 3

what to do when poison is inhale

Answer 3

Remove them from harmful environment No mouth to mouth, risk contamination

Question 4

what to do if you have a bee sting

Answer 4

if stinger still impaled, remove as quickly as possible to reduce time of contact with
the venom sac. Not necessary to scrape off with a card.

Question 5

how do we neutralize bee sting

Answer 5

Bee Sting (acidic) with a base solution
(1 tablespoon baking soda in a glass of water)

Question 6

how do you neutralize wasp sting

Answer 6

Wasp sting (alkaline) with an acidic solution (1 tablespoon of vinegar in glass of water)

Question 7

who is most affected with opioid poisoning

Answer 7

-Males most affected (74%)
-Age: 30-39 largest group affected

Question 8

with opioid As HCP, you are not laypersons and would be required to provide

Answer 8

BLS along with administration of naloxone. Proceed as you would with the ABC’s any intervention, however in this case there is an
antidote and additional step. If there is suspicion of an overdose, check the pupils to see is they are ‘pinpoint” constricted. Continue ventilations or compressions 30:2 until antidote is administered or
until EMS intervention is available.

Question 9

OPIOID ACTION PLAN

Answer 9

-Obtain information about the medications that all the athletes under your care are taking. -Know the signs and symptoms of an opioid overdose
-Have a naloxone kit (antidote) and pocket mask available in your trauma waist bag. -Have access to a BVM/AED/Assistant within 3 minutes

Question 10

S/S opioid poisoning

Answer 10

-Unresponsive
-Breathing labored, snore-like, ineffective, absent -Pupils constricted

Question 11

BLS / INTERVENTION opioid poisoning

Answer 11

-911 / Action Plan activated
-BLS provided as required
-SAMPLE indicates possibility of intoxication/overdose -Naloxone available and administered (IM/nasal)
-Do not delay administration if available, resume BLS right away
-Naloxone repeated every 3 minutes until responsive
-Provide post intervention/recovery care
-Possible relapse, should not be left alone, may have to administer more antidote -Transfer of care to EMS

Question 12

NALOXONE- Intranasal Administration

Answer 12

-Victim supine, perform head tilt
-Insert tip of nasal spout into right nostril as far as it goes (aim nasal spout slightly lateral)*
-Press plunger firmly with thumb to push in dose
-Remove device and quickly discard, note time of administration
-Repeat in 3 minutes if no response (use left nostril)
-Resume BLS/Care as needed

Question 13

NALOXONE- (IM) Intramuscular Injection
(vial)

Answer 13

-Remove the cap, insert syringe in vial and push in air
-Draw up all the antidote in the vial.
-Push out excess air in syringe.
-Choose available muscle site such deltoid or quad. Can go through thin clothing. -Insert needle fully keeping needle and syringe at a 90-degree angle.
-Inject the full dose
-Withdraw needle and dispose of safely

Question 14

NALOXONE- (IM) Intramuscular Injection (ampoule)

Answer 14

-Place ampoule on a flat surface and spin around in circle to bring all the fluid to bottom -Break off the top of glass ampoule with alcohol swab to protect fingers
-Insert syringe into ampoule and draw up into syringe
-Push out any excess air in syringe
-Choose available muscle site such deltoid or quad. Can go through thin clothing. -Insert needle fully keeping needle and syringe at a 90degree angle.
-Inject the full dose
-Withdraw needle and dispose of safely
-Note time of administration
-Resume BLS/Care as quickly as possible