Opioid Overdose
What are some examples of opioids?
Heroin, fentanyl, codeine, morphine, percocet, etc
What's typically more dangerous, prescription or non-prescription opioids?
Non-prescription
What is the generic name for Narcan?
Naloxone
What is the first step?
Survey the area - keep yourself safe!
How should you position someone before using Narcan?
Lay them on their back
Who should you call?
911
Addictive, strong, suppress breathing
Yes! Especially if prescribed a high dose
Where is Narcan administered?
In the nose (naloxone is available as injection)
What should you look for in the area?
Drug paraphernalia, safety
What is the first step?
Remove Narcan from package, check instructions
What is the first thing you should tell 911?
Where you are
How awake is someone who is overdosing?
How can you avoid overdosing on prescription opioids?
Take exactly as directed
How long does Narcan take to start working?
2 minutes
What can you do to try to wake them up?
Shake the person, shout, sternum rub
Where do you put the Narcan?
What might 911 want to know?
What are signs of someone leading up to overdose?
What age is at higher risk of overdose?
Older, over 65 years old
How long do the effects of Narcan last?
30-90 minutes
What is the first concern for the overdosing person?
Airway - breathing
No, it is ready right out of the package
What is the 'Good Samaritan law'?
You are generally protected by calling 911 in an emergency situation to help someone overdosing
What is their breathing like?
Slow, shallow, maybe not at all
Combining opioids with other substances increases or decreases risk?
Increases! Especially benzos, antihistamines, and alcohol
Can you give more than one dose of Narcan?
Yes, but you should wait 2-3 minutes for a response
How can you protect their airway?
Put them on their back, tilt their head back
How do you administer the Narcan?
Press the plunger down (firmly)
True or false: after calling 911, you can leave
What do their eyes look like?
Overdose more or less likely when restarting use?
More likely after loss of tolerance (detox, prison)
How much does Narcan cost?
Free! (through AHCCCS at Arizona pharmacies) - also available as an injectable
How do you do rescue breathing?
Tilt their head back, mouth-to-mouth with a tight seal, give two breaths
Can you give more than one dose of Narcan?
Yes! Wait 2-3 minutes between doses
What can you do while waiting for first responders?
Rescue breathing, administer Narcan
What are other visible signs?
Blue fingertips/lips (lighter skin tones), gray or ashen fingertips/lips (darker skin tones)
What types of medical conditions affect overdose risk?
Kidney, liver, and lung diseases
How does Narcan work?
Reverses the overdose by binding to the same receptors in the brain, kicking out the opioid
What can you do beyond helping with breathing?
Narcan!
Where would you give injectable naloxone?
In the muscle of the shoulder or the thigh
What is the recovery position?
Hand supporting head, knee up to prevent rolling, used when they are breathing on their own