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Naloxone Training: Treating an Opioid Overdose

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    • Naloxone Training: Treating an Opioid Overdose

         

      This course, “Naloxone Training: Treating an Opioid Overdose,” is a practical approach to treating opioid overdose in first aid and hospital settings. It will provide you with a general understanding of opioids and opioid overdose, an overview of Naloxone, and its use in treating opioid overdose. 

      The course is designed to help you: 

      1. Define opioids. 
      2. Describe opioids' mechanism of action and signs of overdose.
      3. Understand what Naloxone is and describe its brand names.
      4. Explain the dosage and administration of Naloxone.
      5. Recognize the side effects of Naloxone.
      6. Discuss the treatment of opioid overdose.
      7. Differentiate between treating overdoses in rescue settings and hospital settings.
      8. Differentiate administration of Naloxone to adults and children.
      9. Demonstrate how to administer the different forms of Naloxone.

      This course is an Open Online Course (OOC). It was developed by NextGenU.org.

      The course was developed by Monthe Kofos, DO; and Designed by Cyrille Adam, B.A, BA, Ed; Pablo Baldiviezo MD, MSc, DiplEd; Eduardo Bianco MD, MSc, BIR; Carolina Bustillos  MD, DiplEd; Kabiru Gulma B. Pharm, MBA, MSc., Ph.D   



      There is one module and three lessons to complete, including:

      Module 1: Overview of Naloxone in Treating Opioid Overdose

      • Lesson 1: Overview of Opioids and Opioid Overdose.
      • Lesson 2: Overview of Naloxone.
      • Lesson 3: Uses of Naloxone in Treating Opioid Overdose.

      The completion time for this course is estimated at 6 hours, including 1 hour and 15 minutes of learning resources, 1 hour and 15 minutes for study and assimilation, and 3 hours and 30 minutes of participating in learning activities and the final exam to assist the learners in the synthesis of learning materials.

      Engaging with this course

      • To register for this course, complete the registration form. Begin the course with Module 1. For each lesson, read the descriptions. 
      • There is a final exam to assess your understanding of some important concepts. Click on the hyperlinks to take you to these items in each topic.

      Requirements to obtain the certificate :

      You may browse this course for free to learn for your personal enrichment. There are no requirements.

      To obtain a certificate, a learner must successfully complete:

      • All reading requirements,
      • All quizzes and pass with a 70% with unlimited attempts,
      • The final exam with a minimum of 70% and a maximum of 3 attempts, and
      • The self and course evaluation forms.

      Here are the next steps to take the course and earn a certificate.

      • Complete the registration form.
      • Begin the course with Lesson 1: A Brief Guide to Understanding Opioids and Opioid Overdose. In each lesson, read the description, complete all required readings and any required activity, as well as take the corresponding quizzes.


      This course meets nationally approved standards of education developed for the addiction/substance use disorders counseling profession. This course's participants are assured that the continuing education (CE) credits provided will be accepted toward national credentialing by the NAADAC Certification Commission for Addiction Professionals (NCC AP), as well as by many of the individual state licensing/certification bodies in the addiction and other helping professions.

      • Module 1: Treating an Opioid Overdose

        Instructional goals covered in this module:

        • General overview of opioids.
        • Overview of Naloxone.
        • Treatment of opioid overdose with Naloxone.
        • Module1: Lesson 1: Introduction to the Opioid Overdose

          Student Learning Outcomes:
          Upon completion of this module, students should be able to:
          • Define opioids.
          • Describe opioids' mechanism of action and signs of overdose.

          Click here to start this lesson

          1 SCORM package
          • Lesson 1: Introduction to the Opiod Overdose SCORM package

            This lesson content includes the information you require to complete the course successfully. Buttons to interact and move forward through the content are clearly identified.

        • Module 1: Lesson 2: Introduction to Naloxone

          Student Learning Outcomes:
          Upon completion of this module, students should be able to:
          • Understand what Naloxone is and recite its brand names.
          • Explain the dosage and administration of Naloxone.
          • Recognize the side effects of Naloxone.

          Click here to start this lesson
          1 SCORM package
          • Lesson 2: Introduction to Naloxone SCORM package

            This lesson content includes the information you require to complete the course successfully. Buttons to interact and move forward through the content are clearly identified.

        • Module 1: Lesson 3: Naloxone Administration

          Student Learning Outcomes:
          Upon completion of this module, students should be able to:
          • Discuss the treatment of opioid overdose.
          • Differentiate between treating overdoses in rescue settings and hospital settings.
          • Differentiate the administration of Naloxone to adults and children.
          • Demonstrate how to administer the different forms of Naloxone.

          Click here to start this lesson
          1 SCORM package, 1 Forum
          • Lesson 3: Naloxone Administrations SCORM package

            This lesson content includes the information you require to complete the course successfully. Buttons to interact and move forward through the content are clearly identified.

          • Discussion Forum

            General Instructions:

            In this learning activity, you will discuss the following: opioids, signs of opioid overdose, and Naloxone. Regarding Naloxone, you will learn the following: proper dosage, route of administration, adverse effects, and differences in the administration between adults and children. You will also be presented with a basic treatment algorithm on how to medically address an opiate overdose in the outpatient setting. 


            Step 1: Review and Reflect 

            Review the necessary learning resources for this module and read the case study below. Reflect on all the student learning objectives.

            Tackling Opioid Abuse in Postoperative Patients

            VG, a 38-year old male, underwent hemorrhoidectomy using a spinal anesthesia about 48 hours ago in a specialist hospital in Northern Ireland. There were no reported complications. Immediately following the hemorrhoidectomy, the surgeon prescribed, among other medications, pain relievers such as Pentazocine 30 mg orally every six hours, Diclofenac Sodium injection 100 mg intramuscularly every twelve hours, and Paracetamol 500 mg intramuscular injection every eight hours. Although the surgeon proclaimed the operation to be successful, VG still complained of moderate to severe abdominal pains. During the 48-hour observation period in the hospital, VG requested nursing staff to administer the next dose of Pentazocine injection due to severe pains.

            VG’s pains worsened when passing stool. Since there were no complications, he  was discharged and placed on Tramadol 100 mg orally every twelve hours. VG resumed his previously sedentary lifestyle with poor diet choices consisting of low fiber intake. His pain gradually increased and he independently increased the dosage of his tramadol to 200 mg orally every eight hours. 

            About 48 hours following this dosing increase, VG experienced decreased bowel sounds, body weakness, malaise, and decreased respiratory rate. Suspecting that his condition was related to a possible Tramadol overdose, VG found a Narcan nasal spray (containing four mg per spray). He self administered nasal sprays, alternating nostrils every 2-3 minutes whenever symptoms reemerged, as this appeared to decrease symptoms periodically. Twenty four hours following the tramadol increase, the nasal spray became ineffective and VG attempted to use a Narcan nasal injection (1 mg every 3-5 minutes by alternating nostrils) to no effect. The symptoms worsened to include further constipation, headache, drowsiness, vomiting, heartburn, and dry mouth.

            Anxious for help, VG called a friend who drove him to the hospital for further medical attention.


            Step 2: Respond. 

            Pretend you are a provider at the hospital and VG is now your patient. Prepare a 450-500 word written piece discussing the treatment choices and failures in VG’s case. Ensure that your response includes the following:


            • Other signs and symptoms which VG might be experiencing to his opioid overdose
            • A brief list of differential diagnoses that you think may be appropriate to consider and why these would be applicable based on the above prompt. You should have a minimum of one differential diagnosis.
            • Assuming opiate overdose, the best treatment option for VG’s symptoms once he arrives at the hospital.
            • The appropriateness of VG choosing to independently increase his tramadol and whether this new dose was appropriate
            • Possible reasons VG’s home-based medications failed; whether VG followed the treatment algorithm appropriately and how he might have improved things (if at all) 
            • How would you explain to VG about his medical situation? (Remember to include patient education)

            Step 3: Share 

            To share your work, click the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B.: references are excluded from word counts).


            Step 4: Interact 

            To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Be sure your post engages your peers' ideas by including a reflection on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click “Post to forum.”


        • Final Exam

          Click here to start Final Examination

          • Final Exam Quiz
            Restricted Not available unless:
            • The activity Course Registration is marked complete
            • The activity Discussion Forum is marked complete

            To take the final exam, you must complete all the required activities. The final exam consists of 10 questions, and you will have 30 minutes to complete it. When the time is over, you will have two minutes to submit your attempt before it expires, and your progress is discarded. You will not be able to answer additional questions in the grace period.

            To access the exam, click on the name of the exam provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Course and Self Evaluation & Certificate

          In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your certificate of completion.

          Click here give your feedback

          • Course Evaluation Questionnaire
            Restricted Not available unless: The activity Final Exam is marked complete
          • Self Evaluation Questionnaire
            Restricted Not available unless: The activity Final Exam is marked complete
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        • Naloxone Training: Treating an Opioid Overdose
        • Module 1: Treating an Opioid Overdose
        • Module1: Lesson 1: Introduction to the Opioid Overdose
        • Module 1: Lesson 2: Introduction to Naloxone
        • Module 1: Lesson 3: Naloxone Administration
        • Final Exam
        • Course and Self Evaluation & Certificate
        • Course Activities
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