Acute Opioid Overdose
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 15 February 2019
⏱️ 9 minutes
🧾️ Download transcript
Summary
Over the next few weeks, I want to do a mini toxicology series. With the amount of new drugs and the amount of overdoses which are occurring, I think it's important for providers to know...
- The clinical presentation
- Diagnosis
- Differential Diagnosis
- Workup
- Management
...for these critical patients.
Today, we'll be discussing the acute opioid overdose. We'll go over a case, break it down by intro, etiology, clinical presentation, workup, diagnosis, differentials, and management.
So, let's dive in!
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Transcript
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| 0:00.0 | Team what's going on Zach here we're back for another podcast med geeks. |
| 0:05.0 | So over the next few weeks handful of weeks I want to do a mini toxicology series. |
| 0:10.0 | With the amount of new drugs out there and overdoses that are occurring, I think it's important for providers to know kind of the clinical presentation, diagnosis, work, differential and management of these critical patients. |
| 0:25.9 | So today, we're gonna discuss the acute opioid overdose. |
| 0:29.9 | We'll go over a case, break it down by intro, |
| 0:32.4 | etiology, clinical presentations, work up diagnosis, |
| 0:36.4 | differential, and lastly management. |
| 0:38.7 | So let us begin. |
| 0:39.7 | You have a 36 year old male with a past medical history of poly substance abuse, heroin, crack cocaine, and ETOH. |
| 0:48.0 | Currently on methadone, presents with a chief complaint of left-hand pain. |
| 0:52.0 | Patient states that he was in an altercation. complaint of left-hand pain. |
| 0:52.6 | Patient states that he was in an altercation the night prior and injured his left |
| 0:56.6 | wrist after a fight. |
| 0:58.2 | During the interview, he was very remorseful. |
| 1:00.2 | He stated that he had been doing well on methadone, however he slipped last night and did three bags of heroin because he was upset following the fight. |
| 1:08.0 | Initial vitals revealed no fever, heart rate in the 70s, BP 125 over 75, |
| 1:15.2 | a respiratory rate of 18 and oxygen saturation |
| 1:18.5 | 98% on room air. |
| 1:20.3 | On exam, the patient was awake and alert, pleasant, conversing appropriately. |
| 1:26.0 | Really the only remarkable exam finding was a swollen left wrist that was tender to palpation. |
| 1:31.0 | The patient was hesitant to partake in the full exam of the wrist due to the pain. So you ordered imaging at the left wrist and you move on to your next patient. |
| 1:40.0 | Roughly an hour later, you're called to the patient's bedside, |
... |
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