By M.D. Peter G. Bourne
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Extra resources for Acute Drug Abuse Emergencies. A Treatment Manual
The patient is not alert or if he has a depressed gag reflex, lavage should not be attempted without first intubating the patient and inflating the tracheal cuff Gastric c o n t e n t s should be saved for toxicologic analysis. b. Specific, With t h e i n t r o d u c t i o n of n a l o x o n e , a safe n a r c o t i c antagonist is n o w available. N a l o x o n e is free of t h e agonistic effects t h a t characterized n a l o r p h i n e , being virtually free of p h a r m a c o l o g i c action (in t h e dose range u s e d ) in t h e individual w i t h o u t n a r c o t i c d e p e n d e n c e .
Finally, heroin p r o d u c e s a m a r k e d decrease in gastric motility and a m a r k e d increase in antral t o n e . T h e resulting delay in gastric e m p t y i n g makes lavage a w o r t h w h i l e maneuver if t h e r e is evidence of recent ingestion of o t h e r drugs (Dimijian a n d Radelat, 1 9 7 2 ) . B. Management T h e a p p r o a c h t o heroin overdose m a n a g e m e n t will be divided i n t o five phases: e m e r g e n c y , a c u t e , s u b a c u t e , c h r o n i c , a n d p r o p h y l a c t i c .
Blood a n d urine should be sent for chemical a n d toxicologic analysis. T o g e t h e r , these will c o n s t i t u t e t h e data base for future decision-making a n d t h e formulation of a t r e a t m e n t plan. Following this i n f o r m a t i o n gathering stage, o n e moves t o active t r e a t m e n t , which is divided i n t o supportive a n d specific categories. a. Supportive. v. line inserted a n d t h e n be given a bolus of 5 0 cc of 5 0 % glucose t o eliminate a n y METHOD OF MARK H.
Acute Drug Abuse Emergencies. A Treatment Manual by M.D. Peter G. Bourne