ASAM Pocket Guidelines and Patient Guide

ASAM Opioid Use Disorder Patient Guide 2025

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19 HOW TO RECOGNIZE AN OVERDOSE Someone may be experiencing an opioid overdose if: • They are unconscious or you cannot wake them. • Their breathing is slow, irregular, or has stopped ( you may hear choking sounds or a gurgling/snoring noise). • They have pinpoint pupils (their pupils are very small). • Their fingernails or lips are blue or purple (for darker skinned people the skin may turn pale, grayish, or ashen). RESPONDING TO A SUSPECTED OVERDOSE • If overdose is suspected, try to wake the person up by calling their name. • If that doesn't work, try grinding your knuckles into the middle of their chest or their upper lip. • If there is no response, or if you are still unsure of an overdose, call 911 immediately. • Give naloxone or other overdose reversal medication. • Support the person's breathing while you wait for emergency responders. Use CPR if they are not breathing, including providing rescue breaths and chest compressions. • If breathing, place the person in the recovery position on their side. • Wait for emergency services to arrive. • See "Do's and Don'ts" for more information.

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