Management of Overdose - Standing Order

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QUEENSLAND CORRECTIVE SERVICES
ADMINISTRATIVE FORM – MANAGEMENT OF OVERDOSE – STANDING ORDER
Availability: Public
Implement Date: 28 August 2006
Surname
Given Name
Date of Birth
Treatment Order:
In the treatment of known or suspected opioid overdose.

Narcan (Naloxone) 1.2 mg IV and/or 1.2 mg IMI (may be repeated up to 4 times)
Indications of Narcotic overdose:
may be conscious with pinpoint pupils; decreased level of consciousness; drowsiness;
slurred speech; unsteady gait; nausea and vomiting; respiratory depression, bradycardia
may be unconscious with pinpoint pupils, recent track marks.
Other measures required:




check and if necessary proceed with resuscitation.
administer oxygen by face mask at 6 - 8 l/p/m.
Ensure adequate oxygenation by:
 Guedels airway, jaw support etc to maintain airway;
 Contact on call doctor as soon as possible regarding further management.
If condition warrants, transfer to hospital via Q.A.S. with Facility to Hospital Transfer Form via QAS
STAFF AUTHORISED TO IMPLEMENT
Clinical Nurses
AREA AUTHORISED
All Correctional Centres
CONSULTANT ENDORSING:
Management of Overdoes – Standing Order
106730257
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