Ensure Airway and Breathing:
- After administering naloxone, check the person’s breathing and airway. If they are not breathing or their breathing is inadequate, perform rescue breathing or CPR if trained.
- Place the person in the recovery position (on their side with their top leg bent and arm under their head) if they begin to breathe but remain unconscious.
Monitor for Response:
- Observe the person closely for signs of improvement, such as increased breathing or consciousness. Naloxone typically takes effect within 2–3 minutes.
- Be prepared for withdrawal symptoms, such as agitation or nausea, which can occur when opioids are reversed.
Prepare for Additional Doses:
- If there is no improvement after 2–3 minutes, administer a second dose of naloxone using a new spray or vial.
- Continue to monitor and repeat doses every 2–3 minutes as needed until emergency help arrives or the person regains normal breathing.
Communicate with Emergency Services:
- Provide respondents with details about the situation, including the number of naloxone doses administered.
- Stay with the person until professional help takes over.
