Overdose/Poisoning
General Adult Assessment
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Extraglottic Airway Device if indicated
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Endotracheal Intubation if indicated
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Go to Endotracheal Intubation
Consider Vascular Access
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Consider Cardiac Monitor
Consider potential cause of
signs/symptoms
Opiate
OD
Cyanide
Dystonic
Reaction
TCA/ASA
OD
Calcium
Channel
Blocker OD
Beta Blocker
OD
Organophosphate
Toxicity
NALOXONE
2-4 mg
Intranasal
NALOXONE
2.0 mg
IN/IM/IV;
may repeat
to max dose
of 10 mg
BENADRYL
50 mg IV/IM
Wide
QRS
Bradycardic
and
hypotensive
Bradycardic
and
hypotensive
ATROPINE
2.0 mg IV q 15 min
as needed to
decrease secretions
and ventilatory
resistance
HYDROXOCOBALAMIN
5.0 g IV over 15 min
if available
SODIUM
BICARBONATE
1.0 mEq/kg of
8.4% solution
IV
CALCIUM
CHLORIDE
1 gm
(10%)
slow IV
GLUCAGON
1.0 mg IM/IV;
may repeat once
in 3-5 min
Reassess and Transport
as Appropriate