Opioid Overdose

Toxicology

See treatment and investigations.

Clinical features

  • Triad: coma, pinpoint pupils, respiratory depression

Management

  • Airway support + bag-mask ventilation
  • Naloxone 0.4-2 mg IV/IM/IN — titrate to respiratory rate not consciousness
  • Repeat q2-3 min; consider infusion (2/3 of effective bolus per hour)
  • Long-acting opioids (methadone) — observe ≥12 h

Related in WardRound

Educational — verify locally.

WardRound

WardRound

Clinical Decisions in Seconds