drug overdose prevention education (dope)

D.O.P.E.Drug Overdose Prevention Education

Eigenmann Hall, 726W1900 E 10th StreetBloomington, IN 47506

(812) 856-3898oasis@indiana.edu

@IUDrugAlcPrev

By the End of this Training, You Will…

Understand classes of drugs most responsible for overdoses

Know the signs and symptoms of alcohol poisoning and drug overdose

Recognize risk factors for alcohol and drug overdose

Familiarize yourself with rescue breathing

Identify where to pick up naloxone and how to administer the medicine

Know how to help a friend

2014: 82% of Prescription Drug OD were UNITENTIONAL

1 out of every 4 18-20 year-olds take non-prescribed stimulants, sedatives, or opioids (painkillers) at least once in their lifetime

.

What is an Overdose?

Injury to the body when a drug is taken in excessive amounts (CDC)

Common Drugs Causing Overdose:

Heroin (IV, inhaled or smoked)

Alcohol (i.e. Alcohol Poisoning)

Other Sedatives (Xanax, Klonopin)

Prescription Pain Meds/”Opioids” (Morphine, OxyContin, Percocet)

• Stimulants (Adderall, Cocaine, other amphetamines)

• OTC Meds (Cough Syrup, Decongestants, etc.)

Alcohol Poisoning

(i.e. Alcohol Overdose)

Alcohol is a central nervous system depressant.

Alcohol poisoning occurs when too much alcohol has been consumed, interrupting basic life-support functionsBreathing

Heart Rate

Temperature Control

National Institute on Alcohol Abuse and Alcoholism (NIAAA), 2015

Prescription Overdoses

Two Classes of Prescription Drugs Cause Most Overdoses

Depressants

Stimulants

Q: What are the most commonly misused Rx drugs on campus??

A: Adderall (Dextroamphetamine, “Study Drugs”)

A: Xanax (Alprazolam, “Benzos”)

A: Vicodin, Norco, Lortab (Opioids and Opiates, “Narcotics”)

• Awake, but can’t talk

• Face is pale and clammy

• Pulse is erratic, or not there

• Unresponsive to outside stimulus

• Lips or Fingernails Blue

• Breathing is slow, shallow, or stopped

• Vomiting• Body Limp

Overdose Risks• Using drugs (including

prescriptions) or drinking alone

• Using drugs (including prescriptions) after a period of abstinence

• Unknown drug potency (common)

• Health Conditions

• Mixing Substances• Antagonistic Effect, “Tug of

War”• Potentiation Effect , “1+1=3”

During an Overdose…

NO YES

Responding to Overdosein6 Steps

6 Step Process• Physical Assessment• Stimulation• Call or Text for Help• Rescue Breathing*• Administer Naloxone• How to Help- Preventing Overdose

*Rescue breathing is only necessary when a person is not breathing.

• Is the person breathing?• Is the person responsive?

Step 1: Physical Assessment

• Can the person speak?• How is their skin color

(especially lips and fingertips)?

Step 2: Stimulation• Call his or her name and/or say “I’m going to call 911”

• Rub your knuckles on sternum or above top lip

• If the person wakes up, try to get him or her to focus. Can they speak to you? Check their breathing. If breathing is shallow call 911.

Harm Reduction Coalition, 2016

• Continue to monitor breathing and pulse, and try to keep him or her awake and alert.

Step 3: Calling or Texting for Help

• TELL the dispatcher exactly where you are. (i.e. 3rd floor, in the bathroom, in the bedroom on the 1st

floor). You can text 911, or call.

• SAY things like “My friend’s not breathing, turning blue, unconscious, non-responsive, etc.” This makes the call a priority.

• Once help arrives, TELL them what you know about the drugs they’ve been using. Paramedics may give naloxone in the case of an opioid overdose.

• STAY and cooperate

Step 4: Rescue Breathing*• Place the person on their back.

• Tilt their chin up to open the airway.

• Check to see if there is anything in their mouth blocking their airway. If so, remove it.

• Plug their nose with one hand and give 2 even, regular-sized breaths. Blow enough air into their lungs to make their chest rise.

• If you don’t see their chest rise out of the corner of your eye, tilt the head back more and make sure you’re plugging their nose.

• Breathe again. Give one breath every 5 seconds.

*Rescue breathing is

only necessary if the

person is NOT breathing.

Step 5: Administer Naloxone

Rescue breathing should be used, if person is not breathing, until naloxone is administered

Naloxone is a “rescue drug” that has been approved by the FDA to be used during an OPIOID overdose (only).

The medicine “kicks” the opioid out of the users brain, allowing normal breathing to resume

CALL 911 as soon as possible, before or right after administering the drug.

Naloxone can wear off in 30-90 minutes. A 2nd dose may be given if the person begins demonstrating signs of overdose again.

What is Naloxone?

*TRIGGER WARNING*

Step 6: How To Help

Watching a friend overdose can be VERY scary. Take action before it happens.

*How to Help

Do

Plan Ahead. Find Resources.

Assess your motives.

Present concerns. “I’m scared.” “I’m concerned.”

Provide choices.

Recognize that denial and shame are normal.

Ask for help!

Do Not

Talk to your friend when high or intoxicated.

Judge or Critique.

“You piss me off. You don’t care.”

Give directives, “You Must.”

Set boundaries, but don’t abandon.

Hoosiers Help Hoosiers

#CourageToCare

• Refer, or go with your friends to:• OASIS• Counseling and Psychological

Services (CaPS)• Amethyst House (645 N. Walnut)• Centerstone (645 S. Rogers)

IU Health Center Pharmacy600 N. Jordan*Limited Supply

Where to Get Naloxone

Indiana Recovery Alliance118 S. Rogers, Suite 2(Enter by Coke Machine)

D.O.P.E.Drug Overdose Prevention Education Eigenmann Hall, 726W

1900 E 10th StreetBloomington, IN 47506

(812) 856-3898oasis@indiana.edu

@IUDrugAlcPrev

Thank you!