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Intoxicación por opiáceos - Treatment

Nombres alternativos

Intoxicación con opioides

Tratamiento:

El médico medirá y vigilará los signos vitales del paciente, incluyendo la temperatura, el pulso, la frecuencia respiratoria y la presión arterial. Los síntomas se tratarán en la forma apropiada. El paciente puede recibir:

  • Soporte respiratorio
  • Sonda puesta a través de la boca hasta los pulmones (intubación endotraqueal)
  • Medicamento llamado naloxona que ayuda a bloquear el efecto del fármaco en el sistema nervioso central (tal medicamento se denomina antagonista de narcóticos)
  • Examen toxicológico

En la mayoría de los casos, el equipo de atención médica supervisará al paciente durante 4 a 6 horas en el servicio de urgencias, aunque el tiempo de observación óptimo después de la intoxicación con opiáceos no se ha definido para la mayoría de estas sustancias. Aquellas personas con intoxicaciones de moderadas a graves probablemente serán hospitalizadas durante 24 a 48 horas.

Se necesita una evaluación psiquiátrica para todas las exposiciones con intento de suicidio.

  • 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.

Referencias

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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