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Community management of opioid overdose
6 NovWorld Health Organization relesead the 2014 guidelines for Community management of opioid overdose.
Here are some highlights from the guidelines of particular relevance for emergency medicine
Formulation and dose of naloxone
Route of administration
Dosage
Intranasal delivery may require a higher dose. It should be noted that the commonly used method of intranasal administration is to spray 1 ml of the 1 mg/ml formulation of naloxone into each nostril with an atomizerconnected to a syringe.
A more complicated situation arises where there has been an overdose of a combination of drugs. In this situation naloxone is still beneficial for reversing the opioid intoxication component of the overdose.
Cardiopulmonary resuscitation
Post resuscitative care
Download the full guidelines at
http://apps.who.int/iris/bitstream/10665/137462/1/9789241548816_eng.pdf?ua=1
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Tag:oppiates overdose, overdose, toxicology