Opioid Overdose
Recognition and Naloxone
Administration Training
Objectives
• By the end of this training, you will
Know how to recognize overdose
o Recognize the progression of an overdose
o Know how to administer Narcan Nasal Spray
o
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When Do People Overdose?
• Variability in quality
• Adulteration
• Mixing drugs
• Method of
administration
• Periods of
Abstinence
o Post-treatment
o Post-hospitalization
o Incarceration
o Relapse
• Using alone
3
Fentanyl
• Equivalent Dosing
Morphine – 10 mg
O Fentanyl – 0.1 mg
O Carfentanil – 0.001 mg
O
• Common adulterant in
products sold as heroin
4
Signs Of An Overdose
• Slow/shallow breathing
Less than 1 breath every 6
seconds
o Gasping breaths
o Blue skin tone
o
• No response to pain
O
Sternal Rub
• Small pupils – “Pinpoint
Pupils”
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Overdose Progression
Ingestion of excess
heroin/opioid
Breathing effort slows
Loss of
consciousness
Slowing of breathing deprives brain,
heart, and body of oxygen
Irreversible damage occurs to
brain and other organs
Cardiac arrest occurs
Death
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Overdose Response
Provide care until EMS arrives
Inform EMS of interventions and complete report per
departmental policy
Place in Recovery Position
(If breathing effort returns or you must leave the victim)
Rescue breathing
(1 breath every 6
seconds)
Notify medical
responders of possible
overdose
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Administer naloxone (Narcan Nasal
Spray)
• Repeat in 2-3 minutes if breathing effort does not return
Check for a pulse,
if no pulse, begin CPR
Recognize a potential
opioid overdose
Narcan Nasal Spray
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Narcan Nasal Spray
• 18-24 month shelf life
• Follow biohazard
precautions for disposal
• Storage and replacement
per department policy
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Naloxone
10
Narcan Nasal Spray
• Safety
If naloxone is given to someone who hasn’t
overdosed, there are no adverse effects
O Naloxone does not work if given for a non-opioid
overdose
O
 i.e., Alcohol, Methamphetamine, Valium, Xanax, Ativan, etc.
Naloxone does not produce tolerance to opioids
O Do not give if there is a known hypersensitivity to
naloxone
O
 Extremely rare
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Narcan Administration
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Narcan Administration
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Narcan Administration
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Post-Overdose Recovery
• After recovery from an overdose, the victim may
experience:
Withdrawal-like symptoms
O Confusion/Denial
O Agitation/Anger
O
• Prevent adverse reactions by keeping a calm,
bystander-free environment for recovery
• Your safety is most important
15
Good Samaritan Act
• No person who renders aid to other persons
who have been injured or are ill may be
named as a defendant or held liable in any
personal injury civil action by any party in this
state for acts or omissions unless alleged and
proven to be intentional misconduct or gross
negligence.
O
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Applies to all individuals without a medical duty to
act.
Narcan Availability Locations
• Health Promotion and Wellness (HPW)
• University Police Department (UPD) Vehicles
• Student Health Services (SHS)
• Environment, Health, and Safety (EHS)
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Questions?
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