Page 335 - 2021 IDMT Digital

DRUG OVERDOSE
Introduction:
• 2SLRLGV GHFUHDVH &16 DFWLYLW\ DQG V\PSDWKHWLF RXWIORZ E\ DFWLRQ RQ RSLDWH UHFHSWRUV LQ
WKH EUDLQ
• %HQ]RGLD]HSLQHV &16 GHSUHVVDQW
• 6WLPXODQWV &16 DFWLYDWRUV DPSKHWDPLQHV DQG FRFDLQH

Subjective:
• 6LJQV DQG 6\PSWRPV
o 2SLRLG RYHUGRVH GHOLULXP ORVV RI FRQVFLRXVQHVV UHVSLUDWRU\ GHSUHVVLRQ
o %HQ]RGLD]HSLQH RYHUGRVH HIIHFWV VLPLODU WR DOFRKRO GURZVLQHVV UHVSLUDWRU\
GHSUHVVLRQ VWXSRU
o 6WLPXODQW RYHUGRVH DQ[LHW\ DJLWDWLRQ VHL]XUHV
Objective:
• 3K\VLFDO ([DP
o 2SLRLG RYHUGRVH GHFUHDVHG UHVSLUDWRU\ UDWH DQG GHSWK SLQSRLQW SXSLOV
SXOPRQDU\ HGHPD FRPD GHDWK
o %HQ]RGLD]HSLQH RYHUGRVH HIIHFWV VLPLODU WR DOFRKRO UHVSLUDWRU\ GHSUHVVLRQ
VWXSRU VKRFN V\QGURPH FRPD GHDWK
o 6WLPXODQW RYHUGRVH FDUGLRYDVFXODU FROODSVH WDFK\FDUGLD K\SHUWHQVLRQ
DUUK\WKPLDV P\RFDUGLDO LQIDUFWLRQ 7,$V VHL]XUHV VWURNH K\SHUWKHUPLD
Assessment:
• &RQVLGHU RWKHU VXEVWDQFH GHSHQGHQFLHV
• &RQVLGHU RWKHU FR PRUELG GLVRUGHUV
o $Q[LHW\ GLVRUGHUV IHHOLQJV RI QHUYRXVQHVV XQHDVLQHVV
o 0DMRU GHSUHVVLYH GLVRUGHU VHYHUH GHSUHVVHG PRRG QRW GXH WR RQH VSHFLILF
VWUHVVRU
o 376' LQWUXVLYH DQG DYRLGDQFH V\PSWRPV DIWHU H[SRVXUH WR D WUDXPDWLF HYHQW
o 3DQLF dLVRUGHU VKRUW OLYHG UHFXUUHQW XQSUHGLFWDEOH HSLVRGHV RI LQWHQVH DQ[LHW\
DFFRPSDQLHG E\ PDUNHG SK\VLRORJLF PDQLIHVWDWLRQV
o %LSRODU GHSUHVVLYH DQG PDQLF V\PSWRPV
Plan:
• 6XVSHFWHG PLVXVH GHSHQGHQF\
o 8WLOL]H PHQWDO KHDOWK UHVRXUFHV
o 2YHUGRVH
ƒ (9$& RU WUDQVIHU
ƒ 0HGLFDWLRQV XQGHU SUHFHSWRU JXLGDQFH
• 2SLRLGV ,9/IM/intranasal QDOR[RQH
• %HQ]RGLD]HSLQHV ,9 IOXPD]HQLO (controversial)
• 6WLPXODQWV ,9 GLD]HSDP

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