Treatment FAQ

what four things should be done (treatment) if an overdose occurs?

by Zoie Hyatt Published 2 years ago Updated 2 years ago

How to Respond to an Overdose
  • ​STEP 1: CALL FOR HELP (CALL 911) ...
  • STEP 2: CHECK FOR SIGNS OF OPIOID OVERDOSE. ...
  • STEP 3: SUPPORT THE PERSON'S BREATHING. ...
  • STEP 4: ADMINISTER NALOXONE (if you have access to it) ...
  • STEP 5: MONITOR THE PERSON'S RESPONSE. ...
  • Do's and Don'ts in Responding to Opioid Overdose.

How do you treat a drug overdose?

Treatment. pumping the stomach to remove the substance from the stomach giving intravenous fluids to help speed up the body’s removal of the substance The healthcare provider may be able to use an antidote for certain drug overdoses. For example, the drug naloxone can help reverse the effects of a heroin overdose.

What is a drug overdose?

A drug overdose is taking too much of a substance, whether it’s prescription, over-the-counter, legal, or illegal. Drug overdoses may be accidental or intentional.

How useful are toxicology screens for overdose investigations?

For hospitalists trying to get to the bottom of a suspected overdose, toxicology screens can be immensely useful. That’s particularly true of urine screens, because drugs tend to be more concentrated in urine than in blood “provided the screens are specific enough.

What kind of drug overdose can a hospitalist handle?

Handling drug overdoses in the hospital setting. Most hospitalists are well-versed in drugs that depress the central nervous system: benzodiazepines, seizure medications, opioids, muscle relaxants, antipsychotics and, of course, alcohol. Most antidepressants “both tricyclics and the newer agents “and valproic acid,...

How do you treat a patient with overdose?

Overdose treatment may include:Removal of drugs from your body – such as using activated charcoal.Administering an antidote (such as naloxone ) to reverse opioid overdose.

What are the six steps to respond to an overdose?

You'll find more info on each of these steps below.Stimulate them awake by yelling their name and administering a hard sternum rub to the chest plate.If you have naloxone/Narcan, use it. ... Call 911, explain someone is not responsive and not breathing.Provide rescue breathing.More items...•

What should I do immediately after overdose?

Drug Overdose TreatmentCall 911 if the person has:Begin CPR, if Necessary.Contact Poison Control.Collect Drug or Pills.Follow Up.

What is the first step of responding to a suspected opioid overdose after determining they are unresponsive?

AN OPIOID OVERDOSE NEEDS IMMEDIATE MEDICAL ATTENTION. (EMS) or other trained personnel is on the scene, activate the 911 emergency system immediately. All you have to say is “Someone is unresponsive and not breathing.” Be sure to give a specific address and/or description of your location.

What to do after administering Narcan?

After giving naloxone stay with the victim. Continue rescue breathing with 1 breath every 5 seconds. If the victim is still not responding in 3 to 5 minutes, give a second dose of naloxone.

How do you stop a paracetamol overdose?

Intravenous acetylcysteine is the antidote to treat paracetamol overdose and is virtually 100% effective in preventing liver damage when given within 8 hours of the overdose.

How to prevent accidental overdose?

The best methods remove opportunities for accidental overdose or triggers for intentional overdose in the first place. If you have children in the house, make sure that all medications, both prescription and over-the-counter, are kept well out of reach.

What does it mean to overdose on a drug?

Drug overdose meaning. A drug overdose is taking too much of a substance, whether it’s prescription, over-the-counter, legal, or illegal. Drug overdoses may be accidental or intentional. If you’ve taken more than the recommended amount of a drug or enough to have a harmful effect on your body’s functions, you have overdosed.

How do you know if you overdosed on a drug?

The symptoms of a drug overdose may vary depending on the person, drug, and amount taken. However, universal symptoms include: 1 nausea and vomiting 2 drowsiness 3 loss of consciousness 4 trouble breathing 5 difficulty walking 6 agitation 7 aggression or violence 8 enlarged pupils 9 tremors 10 convulsions 11 hallucinations or delusions

What are the symptoms of drug overdose?

However, universal symptoms include: nausea and vomiting. drowsiness. loss of consciousness. trouble breathing. difficulty walking. agitation. aggression or violence.

How to get rid of a drug from your stomach?

giving activated charcoal, which acts in the digestive tract to absorb the drug. inducing vomiting to remove the substance from the stomach. pumping the stomach to remove the substance from the stomach. giving intravenous fluids to help speed up the body’s removal of the substance.

Can children overdose on drugs?

Improper storage of drugs: Improperly stored drugs can be easy targets for small children, who are curious and tend to put things in their mouth. It’s easy for children to get into and accidently overdose on drugs that aren’t properly sealed and stored away from them.

Can you mix alcohol with prescription drugs?

You should also not mix alcohol with prescription drugs without checking with your doctor first. If you misuse drugs, quitting is the best way for you to prevent a drug overdose. Know that certain ways of taking drugs can be riskier than others.

How to help someone who has an overdose?

Step #2 Perform Rescue Breathing . A majority of overdose deaths are due to respiratory failure, so rescue breathing is crucial when dealing with an overdose. Tilt the head, lift the chin, and pinch the nose. Seal their lips and give two quick breaths into their mouth. Then give one long breath every five seconds .

What is the anatomy of an overdose?

Anatomy of an Overdose. An overdose occurs when your body cannot handle the amount of foreign substances in your body. Although signs and symptoms vary depending on the type of drug abused and the person’s tolerance, it’s best to choose caution over discernment. Simply put; if you feel something is wrong, it probably is.

How to inject naloxone into a syringe?

Screw the naloxone cartridge into the barrel of the syringe. Tilt head back and spray half of the naloxone (1cc) into each nostril. Injectable Naloxone: Pry the orange top off the naloxone vial. Draw 1cc of naloxone into syringe and inject into a major muscle (buttocks, thighs or shoulders).

What is narcan in medicine?

Naloxone (Narcan) is a life-saving drug that reverses the depressing effects of opiates on the central nervous system. Naloxone kits are available in two forms: intranasal and injectable.

What happens if you overdose on Xanax?

When an overdose occurs, the victim runs a significant risk of respiratory failure, which could lead to a coma, permanent brain damage and death.

How many drug overdose deaths in 2013?

Drug overdoses are now the leading cause of accident death in the United States. According to the Centers of Disease Control (CDC), 43,982 drug overdose deaths occurred in 2013 across the nation. That’s two times the amount of overdose deaths a decade ago.

What are the symptoms of alcohol poisoning?

Signs of alcohol poisoning include: Severe disorientation and lack of coordination. Vomiting while sleeping. Seizures or rigid spasms. Irregular or slow breathing. Clammy, pale, or bluish skin.

What to do if someone overdoses on alcohol?

If you are present when someone is experiencing an overdose, the first and most important thing is that you remain calm. Panicking will not help. You can help someone who is experiencing overdose symptoms by: Calling 911, this should be the first thing you do.

What is an overdose?

An overdose is actually a brain injury resulting from a lack of adequate oxygen flow. In most cases, overdoses are not intentional. You may not think that recreational drug use will lead to an overdose, but it can happen to anyone who is using drugs, anytime they use. Knowing the signs of a drug overdose and what to do when an overdose occurs can ...

How to treat a heroin overdose?

If someone is overdosing on opioids such as heroin, fentanyl, or carfentanil, get them treatment right way by calling 911 and administering naloxone.

What happens when you overdose on a drug?

Every time you use a drug, you are carrying the risk of serious side effects or overdose. Overdoses can happen with all types of drugs, including cocaine, heroin, alcohol, etc. Accidental overdoses occur when users consume too large an amount ...

What are the symptoms of cocaine overdose?

The drug is used in a variety of ways, and all ingestion methods impact the risk of overdose. Cocaine overdose symptoms include: Chest pain. Breathing difficulties.

When to call 911 for an overdose?

When an overdose is happening, you should always call 911 right away, especially if the person overdosing shows signs of slowed breathing or obstructed airways. If they are turning blue, if they’re making choking noises, or if they’re entirely unresponsive, call 911 immediately.

How do you know if you have an alcohol overdose?

Key signs of alcohol overdose include: The above symptoms of alcohol overdose, as reported by the National Institute on Alcoholism, typically work on a scale of intensity.1 The key signs of alcohol overdose, such as confusion or motor skill impairment, may begin slowly. But as the alcohol overdose progresses and the body continues to process ...

What is the key to determining the clinical effects of an overdose?

The key is identifying the important clinical effects. That means figuring out if the overdose is activating (or deactivating) the central nervous system , causing cardiac arrhythmias or depressing myocardial function, or causing anion gap acidosis.

What is the reminder for hospitalists dealing with drug overdoses?

Dr. Heard also had this reminder for hospitalists dealing with drug overdoses: “Toxicology is one of the few areas in medicine where 24 hours a day, seven days a week, you have the option to call a friend in the poison center when you have questions.”

What drugs do hospitalists use?

Most hospitalists are well-versed in drugs that depress the central nervous system: benzodiazepines, seizure medications, opioids, muscle relaxants, antipsychotics and, of course, alcohol. Most antidepressants “both tricyclics and the newer agents “and valproic acid, clonidine and carbon monoxide are also common culprits. While barbiturate overdoses “aren’t seen much anymore,” Dr. Heard noted, alcohol overdose is very common.

Why is noninvasive ventilation not recommended for overdose patients?

Dr. Heard said he doesn’t advise noninvasive ventilation in overdose patients because the issue is rarely hypoventilation or failure to oxygenate. Instead, it’s usually an airway issue, and physicians should err on the side of reducing the risk of aspiration.

Why are toxicology screens important?

That’s particularly true of urine screens, because drugs tend to be more concentrated in urine than in blood “provided the screens are specific enough.

What is the first line of treatment for a widened QRS circuit?

Because these patients can also be hypotensive and comatose, your first-line treatment should be sodium bicarbonate in boluses of one or two amps.

Why do you need to turn off the brain?

Because these drugs excite neurotransmitter systems in the brain and make patients potentially dangerous, you first need to turn the brain off as quickly and safely as possible. That means bringing on the benzodiazepines, Dr. Heard advised.

Why are people not sure how to handle a drug overdose?

Because of the varying types of drugs, and the lack of knowledge around the symptoms of drug overdose, most people aren’t sure how to recognize or handle a drug overdose.

How many times has the overdose rate increased in the last 15 years?

Particularly when it comes to prescription painkillers and anti-anxiety/antidepressant drugs, addiction, overdose, and death rates have increased as much as five times in the last 15 years.

Why is it important to get help for someone who has taken drugs?

It’s important to get help, because some reactions to drugs and overdose can cause a person to become aggressive or violent.

What are the drugs that affect the central nervous system?

These include painkillers, such as morphine, heroine , and other prescription and illicit opiate drugs. They also include benzodiazepines and similar antidepressant/anti-anxiety drugs like Xanax and Valium, and painkilling drugs like barbiturates. These drugs act on the body by suppressing aspects of the central nervous system to calm responses and relax the brain and body, slowing reflex response, breathing, and heart rate.

How many people died from heroin in 2001?

Comparatively, heroin overdose deaths increased fivefold between 2001 and 2013. Just under 1,780 people died from heroin overdose in 2001, compared to nearly 8,260 in 2013. The number of men who die from heroin overdose is generally at least three times higher than the number of women.

Why do people label themselves as addicts?

Labeling individuals as “addicts” can also stigmatize them, making them feel that they are unworthy of or unable to obtain treatment and recovery. This can lead to them continuing to use drugs to the point that overdose becomes nearly inevitable, when it doesn’t have to be.

What are the symptoms of drug overdose?

These include: Nausea and vomiting. Sleepiness or loss of consciousness. Agitation. Twitching and convulsions.

What is the meaning of "overdose" in medical terms?

Drug overdose represents a severe and life-threatening condition. An overdose can happen at any time after taking a drug. Someone who has been addicted to drugs for years or takes the substance for the first time can experience an overdose. Knowing the signs of an overdose can help you identify when someone is in trouble and needs immediate medical assistance.

Can drugs cause overdose?

Some drugs can cause specific overdose symptoms . Knowing them can help you to identify the potential signs of an overdose early on. These symptoms affect different parts of the brain that, in turn, impact various areas of the body. Some common overdose symptoms to be aware of include:

What to do if you have an overdose?

Once you or your loved one has received treatment for a drug or alcohol overdose, you may want to seek addiction treatment or mental health services to address any underlying psychological problems and to further mitigate your risk of future overdoses.

What to do if someone overdoses on a drug?

If you or someone you know is experiencing any signs of an overdose, call 911 immediately .

What is the best medicine for an overdose?

Medications to reverse or partially reverse the overdosed drug effects. Naloxone can be used for opioid and heroin overdose. Flumazenil may be used for various benzodiazepine overdoses. 7,8,9

How many people died from heroin overdose in 2016?

Overdose deaths – particularly from prescription drugs and heroin – are at epidemic levels. Below are some eye-opening statistics on drug overdoses: About 63,600 people died of a drug overdose in 2016, the most recent year for which data is available.

What are the consequences of drug overdose?

The results are often unpredictable and can lead to an overdose. Overdoses can be accidental or intentional and cause seizures, coma, breathing problems, and death.

What is an accidental overdose?

1. An overdose can be: Accidental, in which the user didn’t mean to consume the substance in excess. Intentional, in which the user took more than the recommended dose on purpose. 1.

What is an EMT in a drug overdose?

When someone overdoses on a drug, alcohol, or a combination of both, an emergency medical technician (EMT) will examine the person. The EMT will check the person’s pulse, airway, and breathing. If needed, airway support and assisted ventilation will be provided. 3

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