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Overdose prevention and response. Causes of OD. An overdose is a response of the body to the amount of drug introduced that is enough to disrupt life functions. Opioid overdose : results in potentially fatal respiratory depression
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Overdose prevention and response Presentation 16
Causes of OD • An overdose is a response of the body to the amount of drug introduced that is enough to disrupt life functions. • Opioid overdose: results in potentially fatal respiratory depression • Stimulant overdose: may result in agitation and/or psychiatric effects, which may be exacerbated by dehydration and sleep deprivation. In some instances, this may lead to cardiac arrest, stroke, or seizure. Presentation 16
Antidotes • Opioid OD: Naloxone (Narcan, Naltrexon), an opioid antagonist, will block the effects of opioids, reversing an overdose. • Stimulant OD – No antidotes. Presentation 16
Opioid OD symptoms • Passing out unconscious • Awake but unable to talk • Slow breathing (less than 12 breaths per minute) • Choking or gurgling sounds • Limp body • Pale, or “ashy” (e.g., among people with dark skin) complexion • Cold, clammy skin • Turning blue (especially lips and finger tips) • Vomiting • Slow heartbeat/puls Presentation 16
First aid in opiod OD • Step 1: Assess Responsiveness & Breathing • Step 2: Make sure the airway is clear • Step 3 (4): Recovery Position • Step 4 (3): Rescue Breathing • Step 5: inject Naloxone • Ambulance Presentation 16
Stimulant OD symptoms • Foaming at mouth • Very rapid heartbeat, pulse • Elevated body temperature, sweating • Quick, shallow breathing • Shaking, seizures • Passing out or suddenly collapsing • Chest pain or feeling of pressure • Heart attack or stroke • Choking or gurgling sounds • Throwing up Presentation 16
First aid in stimulant OD • Call the ambulance • Clean still WATER to drink (no other liquids) • Keep awake • Decrease body temperature: cold towel on forehead, armpits, under knees • If the heart stops perform chest compression Presentation 16
Exercise Presentation 16
Exercise (1): work in groups • Group 1: Long counseling on opioid OD prevention and response with demonstration. • Group 2: 5 – 10 min counseling on OD prevention and response with some demonstration. • Group 3: Long counseling on stimulant OD prevention and response with demonstration. • Group 4: 5 – 10 min counseling on OD prevention and response with some demonstration. Presentation 16
Exercise (2): group demonstration Please demonstrate to the group: • Group that worked on “Long counseling” (opioid) • Group that worked on “Brief counseling” (stimulant) Presentation 16
Exercise (3): group demonstration • Find a partner • Stand face-to face • After the command of a Trainer: (1) conduct a one minute training on opioid OD (2) Change roles (3) conduct a one minute training on opioid OD (4) Change roles Presentation 16