Opioid Toxicity (Paed) Flashcards
(20 cards)
Recite the Opioid toxicity CPG (Paed)
https://cpg.ambulance.vic.gov.au/#/tabs/tab-0/info
What are the care objectives for Opioid toxicity?
- Airway patency and adequate ventilation
- Reverse opioid action sufficiently to permit adequate spontaneous respiration without causing opioid withdrawal
What are the indications for Naloxone?
What are the contraindications for Naloxone?
What are the precautions in Naloxone administration?
What are the Side effects of naloxone?
Why do we use naloxone in an opioid overdose?
- Opioid antagonist
- Prevents or reverses the effects of opioids
Does the O2 therapy guideline apply to this presentation?
- CPG only relates to those 16+
- Guideline states aim sats >92%
*
Are there any relevant CWI’s?
- SGA
What are 3 differential diagnoses of opioid overdose?
- other drug overdose - ? GHB
- ACS > head injury
- ACS > ETOH toxicity
What are some care pathways/treatment options for this patient?
- Reassurance
- Naloxone IM
- Transport or referral as per CPG
- Reassessment
What are some secondary surveys that are applicable to this patient?
- AEIOUTIPS
What are the indications for IM administration
What are the contraindications for IM administration
What are the precations for IM administration
When do you provide treatment for opioid toxicity?
- Unable to maintain own airway
OR - SpO2 < 92% on RA
What is the treatment for paediatric patients with opioid toxicity?
When would you transport someone to hospital with opioid toxicity?
Do patients with opioid toxicity need ETCO2 monitoring?
can be used with borderline respiratory values
