By M.D. Peter G. Bourne
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Extra resources for Acute Drug Abuse Emergencies. A Treatment Manual
Otherwise fingers holding t h e t o n g u e forward suffice. 2. COMMENCE MOUTH TO MOUTH RESUSCITATION T h e p a t i e n t ' s head should be e x t e n d e d , w i t h t h e heel of t h e h a n d o n the forehead and t h e t h u m b and i n d e x finger sealing off t h e n o s e . Making a tight seal w i t h a face mask or with y o u r m o u t h over his, t a k e a deep b r e a t h and blow in until y o u feel his lungs e x p a n d , see his chest rise, and hear t h e passive exhalation after y o u remove y o u r m o u t h .
General Management A. Close Monitoring B. Narcotic Antagonist C. Oxygen D. Pulmonary Edema E. Aspiration Pneumonitis F. Overdose from a Combination of Drugs: Further History and Laboratory Tests G. Hospitalization VL FollowupCare 41 42 43 4^ 44 4^ 45 46 ^ 47 47 47 48 48 I. Pharmacology and Use of M e t h a d o n e M e t h a d o n e is an opioid drug which, like h e r o i n and m o r p h i n e , has analgesic, sedative, and euphorigenic p r o p e r t i e s . Similarly, tolerance and physical d e p e n d e n c e develop with prolonged or r e p e a t e d use.
Blood gases should be sent t o t h e l a b o r a t o r y , and an electrocardiogram a n d chest χ ray t a k e n . 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.