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Table 13-1

Management of Opioid Overdose

Establish airway. Intubation and mechanical ventilation may be necessary.
Naloxone 0.4-2.0 mg (IV, IM, or endotracheal tube). Onset of action with IV is 1-2 min.
Repeat doses of naloxone if needed to restore adequate respiration or a continuous infusion of naloxone can be used.
One-half to two-thirds of the initial naloxone dose that reversed the respiratory depression is administered on an hourly basis (note: naloxone dosing is not necessary if the pt has been intubated).