Overdose/Toxic Ingestion — Adult Algorithms

What is done first if an overdose scene is unsafe?

Call for help and additional resources.

When do you approach an unsafe overdose scene?

After staging until the scene is considered safe.

What monitoring is applied in overdose?

Cardiac monitor.

What ECG is obtained in overdose?

12-lead ECG.

What is the dose of IN naloxone for overdose with inadequate respirations?

1 to 2 mg.

What is the dose of ALS naloxone for overdose?

0.4 to 2 mg.

How is ALS naloxone administered for overdose?

IV, IO, IM, or IN.

How many times can naloxone be repeated in overdose?

Once, if needed.

What is the max dose of naloxone per dose in overdose?

2 mg.

What is naloxone titrated to in overdose?

Adequate ventilation and oxygenation.

What protocol is used if respirations remain inadequate after naloxone?

Adult Basic Airway protocol.

What glucose test is done in overdose?

Blood glucose analysis.

What protocols are used for overdose with altered mental status?

Diabetic and/or Altered Mental Status protocols.

What SBP sends an overdose to the Hypotension/Shock Protocol?

Less than 90 mmHg.

What is the dose of atropine for organophosphate poisoning?

2 mg.

How is atropine administered for organophosphate poisoning?

IV/IO.

How often can atropine be repeated for organophosphate poisoning?

Every 10 minutes.

What is atropine titrated to in organophosphate poisoning?

Relief of symptoms.

What is the dose of calcium chloride for calcium channel blocker overdose?

1 gram.

How is calcium chloride administered for calcium channel blocker overdose?

IV/IO.

What is the dose of Narcan for clonidine overdose?

1 to 4 mg.

How is Narcan administered for clonidine overdose?

IN, IM, IV, or IO.

What is the dose of Benadryl for a dystonic reaction?

25 mg.

How is Benadryl administered for a dystonic reaction?

IV/IO.

What is the dose of sodium bicarbonate for TCA overdose?

50 mEq.

What is the final step of the overdose protocol?

Transport.