The person won't wake up, even if you Opioid safety …...benzodiazepines (Xanax, Ativan, Klonopin,...

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Opioid safety and how to use naloxone TO AVOID AN ACCIDENTAL OPIOID OVERDOSE: Try not to mix your opioids with alcohol, benzodiazepines (Xanax, Ativan, Klonopin, Valium) or medicines that make you sleepy. Be extra careful if you miss or change doses, feel ill or start new medications. What is an opioid overdose? A GUIDE FOR PATIENTS AND CAREGIVERS What is naloxone? It is a medication designed to rapidly reverse opioid overdose. For patient education, videos and additional materials, please visit https://www.cdc.gov/drugoverdose/patients/ index.html. Pa. Department of Drug and Alcohol Programs, Pa. Department of Health and the San Francisco Department of Health. Opioid safety and how to use naloxone: a guide for patients and caregivers. January 2015. Developed by the Pa. Department of Drug and Alcohol Programs and being redistributed by Mountain-Pacific Quality Health, Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, Hawaii and the U.S. Pacific Territories of Guam, American Samoa and the Commonwealth of the Northern Mariana Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 11SOW- MPQHF-AS-C3-18-06 Read more about common opioids* at www.cdc.gov/drugoverdose. *Heroin is also an opioid. How to identify an opioid overdose: Look for these common signs: The person won't wake up, even if you shake him or her or say his or her name Breathing slows or even stops Lips and fingernails turn blue or gray Skin gets pale, clammy In case of overdose: 2 Call 911 and give naloxone If no reaction in three minutes give second naloxone dose. 3 Do rescue breathing or chest compressions Follow 911 dispatcher instructions. 4 Recovery position If you need to leave the victim, place him/her on his/her side (recovery position) to prevent the person from choking on his/her vomit. 1 Sternum rub If the victim isn't breathing, is blue in the face or non-responsive, move your knuckles up and down the chest over the sternum with a lot of pressure. 5 After naloxone Stay with person for at least three hours or until help arrives. Report naloxone use. Opioids can cause bad reactions that make your breathing slow or even stop. This can happen if your body can’t handle the opioids that you take that day.

Transcript of The person won't wake up, even if you Opioid safety …...benzodiazepines (Xanax, Ativan, Klonopin,...

Page 1: The person won't wake up, even if you Opioid safety …...benzodiazepines (Xanax, Ativan, Klonopin, Valium) or medicines that make you sleepy. • Be extra careful if you miss or change

Opioid safety and how to use naloxone

TO AVOID AN ACCIDENTAL OPIOID OVERDOSE:

• Try not to mix your opioids with alcohol,benzodiazepines (Xanax, Ativan,Klonopin, Valium) or medicines thatmake you sleepy.

• Be extra careful if you miss or changedoses, feel ill or start new medications.

What is an opioid overdose?

A GUIDE FOR PATIENTS AND CAREGIVERS

What is naloxone? It is a medication designed to rapidly

reverse opioid overdose.

For patient education, videos and additional materials, please visit

https://www.cdc.gov/drugoverdose/patients/index.html.

Pa. Department of Drug and Alcohol Programs, Pa. Department of Health and the San Francisco Department of Health. Opioid safety and how to use naloxone: a guide for patients and caregivers. January 2015.

Developed by the Pa. Department of Drug and Alcohol Programs and being redistributed by Mountain-Pacific Quality Health, Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, Hawaii and the U.S. Pacific Territories of Guam, American Samoa and the Commonwealth of the Northern Mariana Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 11SOW-MPQHF-AS-C3-18-06

Read more about common opioids* at www.cdc.gov/drugoverdose.

*Heroin is also an opioid.

How to identify an opioid overdose:Look for these common signs:

• The person won't wake up, even if youshake him or her or say his or her name

• Breathing slows or even stops

• Lips and fingernails turn blue or gray

• Skin gets pale, clammy

In case of overdose:

2 Call 911 and give naloxoneIf no reaction in three minutes give second naloxone dose.

3 Do rescue breathing or chest compressions Follow 911 dispatcher instructions.

4 Recovery positionIf you need to leave the victim, place him/her on his/her side (recovery position) to prevent the person from choking on his/her vomit.

1 Sternum rubIf the victim isn't breathing, is blue in the face or non-responsive, move your knuckles up and down the chest over the sternum with a lot of pressure.

5 After naloxoneStay with person for at least three hours or until help arrives. Report naloxone use.

Opioids can cause bad reactions that make your breathing slow or even stop. This can happen if your body can’t handle the opioids that you take that day.

Page 2: The person won't wake up, even if you Opioid safety …...benzodiazepines (Xanax, Ativan, Klonopin, Valium) or medicines that make you sleepy. • Be extra careful if you miss or change

If there is no reaction in 3 minutes, give second dose.

Take purple cap off capsule of naloxone.3

Insert white cone into nostril; give a short, strong push on end of capsule to spray naloxone into nose: ONE HALF OF THE CAPSULE INTO EACH NOSTRIL.

Push to spray.

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2 Screw onwhite cone.

1 Take off yellow caps.

Gently screw capsule of naloxone into barrel of syringe.4

Intranasal (Off-Label)

1.2.

3.

Peel back the package to remove the device. Place the tip of the nozzle in either nostril until your fingers touch the bottom of the patient’s nose.Press the plunger firmly to release the dose into the patient’s nose.

If no reaction after three minutes, give an additional dose using a new device in the alternate nostril.

Intranasal (FDA-Approved)

How to give naloxone:*

Injectable Naloxone

If no reaction in 3 minutes, give second dose.

Remove cap from naloxone vial and uncover the needle.

Insert needle through rubber plug with vial upside down. Pull back on plunger and take up 1 ml.

fill to 1 mlInject 1 ml of naloxone into

an upper arm or thigh muscle.

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44.

Now that you have naloxone…Tell someone where it is and how to use it.

Call 911. The naloxone auto-injector is FDA-approved for use by anyone in the community. It contains a speaker that provides instructions to inject naloxone into the outer thigh, through clothing if needed.

Auto-injector (FDA-Approved)

How to give naloxone:**There are multiple ways to give naloxone.Call 911, then follow the instructions for thetype you have.

*There are multiple ways to give naloxone. Call911, then follow the instructions for the type

you have.

The person receiving naloxone must receive medical treatment.