vue - Naloxone nasal spray demonstration
Sarah Mackin, Program Manager at the Boston Public Health Commission explain the signs of someone who has taken an overdose and how to administer the naloxone nasal spray to hopefully save a life. - Boston Herald staff video by Matt Stone
Commentaires
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Thank you for FINALLY making Narcan available to save lives
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Let em' die. It brings to light the danger of this awful drug. Users will wonder where did Johnny go and perhaps think twice about how much they use or quit.
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The only thing I disagree with are the three ways to diagnose an overdose. Just because someone is hypoxic, isn't breathing effectively, and doesn't respond to painful stimuli does not mean they have overdosed on Opioids. These findings are found for many other things. Additionally, I was surprised that they didn't include to check the pupils. Pinpoint pupils not reactive to light is diagnostic of an OD in the prehospital setting, the other three listed are common for other emergencies... Idon't know why this wasn't included...
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I overdosed in 2012 and they gave me narcan I used every day for years and I did NOT have any withdraw after getting it narcan completely kills the opiates in your system so how would you have withdraw symptoms
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Interesting discussion. Narcan in the outpatient setting is like using a defibrillator. It's a very real way to save a life. The acute withdrawal, the nausea and vomiting are not problems if a patient is awake and controlling their airway. This was a great teaching video. Well done.
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And an even better solution, don't do drugs.
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The only problem I encounter when administering narcan is that usually the patient will display combative behavior afterwards.
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lol Like I would be concerned about ruining someone's buzz if I'm administering Narcan. I wouldn't be closely monitoring the amount of Narcan I'm giving, just give as directed. I would fill their nostrils up and point them to a rehab. Yes, I'm fully aware that they wouldn't be hugging me for ruining their poor little high. I would call 911 before administering as well. I'm sure they would be given the opportunity to seek treatment by the responding authorities.
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What they don't teach you, in the public setting is that the full 2 mg will cause the entire high to be taken away. This isnt what you want. You want to activate breathing again, and only start at increments 0.4 mg up the nose or until desired effect. up to 2 mg. if needed.
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what if you know they're allergic to naloxone?
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Thanks so much.
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Oh but there is side effects! You can cause someone to go straight into withdraw. Withdraw usually causes vomiting. Vomit can cause aspiration. EMS and ER staff should be the only ones using this drug,
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Just note that it's not exactly true that there's no side effects or issues. And this isn't just for addicts. There's plenty of accidental overdoses of legally used prescription drugs. One side effect (if the drug works) is agitation from acute withdrawl. This is physical and emotional. You might have just blown someone's $100 high. There's others, but mostly aren't major as compared to dying of course. Also, while you may be somewhat sure of the situation with a known addict, in addition to the signs and symptoms expressed here you need some evidence of drug use. Meaning there's plenty of reasons people could have similar signs and symptoms where Narcan won't help and could hurt. If you're going to get this to have on hand, get formal training.
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Thank you for this I have shared it on The addicts mom Massachusetts state page as well as the Main The addicts mom page.
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