Opioid Overdose Rescuewith Naloxone Nasal Spray (4 mg)Patient Guide
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Medication Instructions Keep two naloxone nasal sprays with you at all times. Store naloxone nasal sprays at room temperature(59⁰ to 77⁰ F), away from light. Avoid extremes of heat orcold (e.g., do not freeze nasal spray). If you use a naloxone nasal spray or your naloxone nasalsprays expire, contact your provider as soon as possible fora replacement. Naloxone nasal sprays should be replacedbefore the expiration date on the box. Throw away (dispose of ) any used naloxone nasal spraydevice in a place that is away from children. Each nasal spray contains one dose and cannot be reused.1
1.Check for a Response ive person a light shake, say person’s name, firmly rub person’s sternumG(i.e., bone in center of chest where ribs connect) with knuckles, hand in a fist.If persondoes not respond(i.e., wake upand stay awake)—Give Naloxoneand Call 9112
2.Give Naloxone—Call 911 Spray naloxone nasal spray into one nostril(see page 8 for detailed instructions). When calling 911, give the address and say the person is not breathing.How to Give Naloxone1.Remove naloxone nasal spray from the box.2.Peel back the tab with the circle to open the naloxone nasal spray.3.Hold the naloxone nasal spray with your thumb on the bottom of the plunger and yourfirst and middle fingers on either side of the nozzle.4.DO NOT PRIME OR TEST THE SPRAY DEVICE. Tilt the person’s head back and providesupport under the neck with your hand. Gently insert the tip of the nozzle into one nostril,until your fingers on either side of the nozzle are against the bottom of the person’s nose.5.Press the plunger firmly to give the entire dose of naloxone nasal spray. Remove thenaloxone nasal spray from the nostril after giving the dose.3
3.Airway Open ake sure nothing is in the person’s mouth.M If overdose is witnessed (i.e., you see the person stop breathing).Rescue Breathing1. Place face shield(optional)2. Tilt head back, lift chin,pinch nose3. Give 1 breath every5 seconds4. Chest should rise4
If collapse is unwitnessed (i.e., you find someone not breathing)Chest Compressions1. Place heel of one hand over center of person’s chest(between nipples)2. Place other hand on top of first hand, keeping elbowsstraight with shoulders directly above hands3. Use body weight to push straight down, at least2 inches, at rate of 100 compressions per minute4. Place face shield (optional)5. Give 2 breaths for every 30 compressions5
4.Consider Naloxone AgainTwo situations in which to consider naloxone again: If person doesn’t start breathing in 2–3 minutes give second doseof naloxone If person starts breathing after first dose, because naloxone wearsoff in 30 to 90 minutes, a second dose may be needed if person stopsbreathing again Be sure to stay with person until emergency medical staff takeover or for at least 90 minutes to make sure person doesn’t stopbreathing again6
5.Recovery PositionIf the person is breathing but unresponsive, put the person on his/her side toprevent choking if person vomits7
How to useNaloxoneNasal Spray** This guide is not meantto replace the nasal sprayinstructions. Please reviewthe instructions includedwith your nasal spray.8 Remove naloxone nasalspray from the box. Peel back the tab withthe circle to open thenaloxone nasal spray. Hold the naloxone nasalspray with your thumb onthe bottom of the plungerand your first and middlefingers on either side ofthe nozzle.
Press the plunger firmlyto give the entire doseof naloxone nasal spray.Remove the naloxone nasalspray from the nostril aftergiving the dose.ResourcesConsider seeking long-term helpat your local VA Substance UseDisorder Treatment Program:CUT LINE DO NOT PRIME OR TEST THESPRAY DEVICE. Tilt the person’s headback and provide support under theneck with your hand. Gently insertthe tip of the nozzle into one nostril,until your fingers on either side ofthe nozzle are against the bottom ofthe person’s nose. If no reaction in 2–3minutes or if the personstops breathing again,give the second doseof naloxone in the othernostril using a newnaloxone nasal spray.VA Substance Use Disorder Treatment Program Locator:www2.va.gov/directory/guide/SUD.asp Local Emergency Services: 911 National Poison Hotline: 1-800-222-1222 Veterans Crisis Line: 1-800-273-TALK (8255),or text – 8382559
Buddies take care of Buddies.Share this card witha friend or family member.PBM Academic Detailing ServiceHelp is available anytime.www.va.gov Consider seeking long-term help at your localVA Substance Use Disorder Treatment Program:www2.va.gov/directory/guide/SUD.asp Local Emergency Services: 911 National Poison Hotline: 1-800-222-1222 Veterans Crisis Line: 1-800-273-TALK (8255),or text – dapted from the Harm Reduction Coalition, Oakland, CA)Created: July 2016C10July 2016IB 10-926, P96808
Opioid Overdose Rescue with Naloxone Nasal Spray 4mg: Patient Guide Author: U.S. Department of Veterans Affairs Subject: Patient guide on how to use the Naloxone Nasal Spray for an opioid overdose. Provides instructions on how to identify that a person might have overdosed, how to respond and notify emergency personel, how to administer the .
Opioid overdose was the main cause of the estimated 99,000-253,000 deaths worldwide related to illicit drug use in 2010.1 Opioid overdose is both preventable and, if witnessed, treatable (reversible). In its resolution 55/7 on promoting measures to prevent drug overdose, in particular opioid overdose, the
Look for obvious indications of an opioid overdose Always request Seattle Fire and Medics Supporting an opioid overdose patient’s breathing is the most important treatment Naloxone (Narcan) administration is a secondary treatment Many other conditions appear similar to opioid overdose but will
Naloxone for Opioid Overdose: FAQs Background Opioid prescribing doubled from the late 1990s to 2012, when pain treatment became the subject of several quality initiatives and practice guidelines.1-3 Prescription opioid overdose deaths quadrupled between 1999 and 2010, while heroin overdoses increased by 50%.4 Now, opioid
Opioid Overdose Deaths by Drug Type In 2019, synthetic opioids were involved in the greatest proportion of opioid overdose deaths. Type of Opioid Number of Deaths Commonly-prescribed opioids* 143 Heroin 106 Synthetic opioids 309 Note: overdose deaths may involve more than one drug. They also include unintentional
opioid misuse and untreated opioid use disorders.” Drug overdose deaths in the United States continue to increase, with overdose deaths from opioids increasing almost six times since 1999. 1. In 2017, 70,237 Americans died from a drug overdose and nearly 68% of those deaths involved an opioid2. Like the rest of the country, Idaho
Missouri Opioid Overdose and Bloodborne Infection Vulnerability Assessments 2020 3 Introduction Opioid misuse is a growing problem in Missouri as well as throughout the nation. In 2017, 1 out of every 65 deaths in Missouri was due to an opioid overdose.2 From 2001 to 2015, Missouri
Opioid overdose deaths are considered a subset of drug overdose deaths in which any opioid drug was reported as a contributing cause of death (ICD-10 codes T40.0, T40.1, T40.2, T40.3, T40.4, and T40.6). IDPH reports opioid overdose deaths in three categories: any opioid, heroin, and
three main factors used for determining the premium rates under a life insurance plan are mortality, expense and interest. The premium rates are revised if there are any significant changes in any of these factors. Mortality (deaths in a particular area) When deciding upon the pricing strategy the average rate of mortality is one of the main considerations. In a country like South Africa .