Paed Opioid Toxicity CPG Flowchart And Care Objectives

Question 1

What is the dosage of Naloxone for opioid-naïve paediatric patients IM?

Answer 1

Naloxone 10 mcg / kg IM (max. 800 mcg)

Repeat once at 10 minutes if required.

Question 2

What is the dosage of Naloxone for opioid-dependent paediatric patients IM?

Answer 2

Naloxone 1 - 2 mcg / kg IM (max. 100 mcg)

Repeat once at 10 minutes if required.

Question 4

When must you transport opioid toxicity patients? (8)

Answer 4

1.Unable to maintain airway
2. SpO2 < 92% on room air
3. Age < 16 OR > 65
4. Suspected aspiration
5. APO
6. Incomplete response to two doses of naloxone
7. Suspected opioid other than heroin including synthetic opioids
8. Pregnancy.

Question 5

What should be monitored during transport?

Answer 5

Vital signs and SpO2.

Question 6

What additional tool may be used with borderline respiratory values?

Answer 6

Nasal capnography.

Question 7

Care objective: opioid toxicity

Answer 7

• airway patency and ventilation
• reverse opioid action sufficiently to permit adequate spontaneous respiration without causing opioid withdrawal