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Opioid intoxication - Treatment

Alternative Names

Intoxication - opioids

Treatment:

The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The patient may receive:

  • Breathing support
  • Tube placed through the mouth into the lungs (endotracheal intubation)
  • Medicine called naloxone, which helps block the effect of the drug on the central nervous system (such medicine is called a narcotic antagonist)
  • Toxicology screening

In most cases, the health care team will monitor the patient for 4 to 6 hours in the emergency room, although the optimal observation time after opioid intoxication has not been defined for most opioids. Those with moderate-to-severe intoxications will likely be admitted to the hospital for 24- to 48 hours.

A psychiatric evaluation is needed for all exposures with suicidal intent.

  • Reviewed last on: 6/17/2011
  • Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Doyon S. Opiods. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 167.

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