IMMEDIATE โ summon senior/resuscitation help as clinically indicated.
๐ Recognise
Reduced respiratory rate, pinpoint pupils and decreased consciousness; pupils may be unreliable.
๐ First actions
Support ventilation and titrate naloxone per protocol where opioid toxicity suspected.
๐งช Investigate / reassess
Observe for recurrent toxicity after naloxone wears off, especially long-acting opioids.
โ ๏ธ Escalation / pitfalls
Reversal of respiratory depression is the priority, not necessarily full wakefulness.
Editorial status: Teaching draft, specialist review required; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.