The CDC Pain Guidelines, Naloxone, and More

Question 1

Highest increase in heorin

Answer 1

Whites

Question 2

6 points from CDC guilelines

Answer 2

Opioids not 1st line 
Discuss risk and benefits
Immediate release when starting
Lowest efective dose
Short durations for acute pain (3 days or less)
Establish pain and function goals

Question 3

Who accounts from overdoses

Answer 3

Those getting scripts from multiple presceribers or getting high doses

Low doses less common

Question 4

Demographic risk factors

Answer 4

Male, 45-54, not urban, without naloxone overdose progrm, low income and medicaid

Question 5

How to ID overdose

Answer 5

Pinpoint pupils, resp depression, uinconscious

Question 6

Skin
Body
Fingernails, lips
Breathing
Level of responsive
HB 

Overdose

Answer 6

Pale and clammy
Limp
Blue or purple
Shallow, slow, stopped, gurgling
Cannot be awakened or cant speak
Slow ro stopped

Question 7

Opioid overdose physio

Answer 7

No response to sternal rub
Hypotension and brady cardia
Coma and death

Death rattle

Question 8

Death rattle

Answer 8

Opioids decrease resp function and breathing

Exhalaed breath with distinct and lobred sound from throat

Need resuscitation

Question 9

Signs of opioid excess

Answer 9

Sleepy
Mental confusion
Slow breathing
Pinpoint pupils 
Slow HB, low BP
Difficulty waking

Question 10

Naloxone

Answer 10

Non-selective competitive opioid antagonist

Typically injected

May need to give 2 doses

Question 11

Naloxone auto-injector

Answer 11

IM injection into the thigh

Question 12

Naloxone nasal spray

Answer 12

Super rapid…repeat iwthin 2-3 minutes as needed