Advanced Management of Opioid Overdose in the Emergency Department

* Consider acute opioid intoxication if respiratory depression, miosis, and depressed mental status are present. * When using naloxone to reverse mental status depression in the stable patient, use a low dose, for example, 0.04 mg IV, with escalating doses titrated according to the clinical response...

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Bibliographic Details
Published inEmergency medicine reports Vol. 39; no. 6
Main Authors R Gentry Wilkerson, John David Gatz, Mei Ling Liu, Dan Quan
Format Journal Article
LanguageEnglish
Published Atlanta Relias Learning 01.03.2018
Subjects
Alcohol
Clinical trials
Drug abuse
Drug addiction
Drug dosages
Drug overdose
Emergency medical care
Health services
Heroin
Intervention
Medical referrals
Mental health
Narcotics
Pain
Patients
Socioeconomic factors
Substance abuse treatment
United States > US
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Summary:* Consider acute opioid intoxication if respiratory depression, miosis, and depressed mental status are present. * When using naloxone to reverse mental status depression in the stable patient, use a low dose, for example, 0.04 mg IV, with escalating doses titrated according to the clinical response. * If the patient responds to naloxone by awakening and recovering full alertness, observe for 90 minutes to assess for potential opioid-rebound. * Use the ED visit for opioid overdose as an opportunity for both harm-reduction strategies and screening, treatment initiation, and referral.
ISSN:0746-2506
2168-4332