Wilkerson Richard Gentry, Kim Hong K, Windsor Thomas Andrew, Mareiniss Darren P
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
Emerg Med Clin North Am. 2016 May;34(2):e1-e23. doi: 10.1016/j.emc.2015.11.002. Epub 2016 Feb 17.
There is an epidemic of opioid abuse. This article discusses the history of opioid use. Abusers of opioids are at great risk of harm. There have been increasing legislative efforts to curb this abuse and we present a review of the current state of these laws. Naloxone has made a profound impact in the care of these patients if they present for medical care early enough. This paper discusses naloxone pharmacodynamics, its use in the medical setting, and how its use is now being expanded to include nontraditional providers with take home naloxone programs.
存在阿片类药物滥用的流行情况。本文讨论了阿片类药物的使用历史。阿片类药物滥用者面临极大的伤害风险。为遏制这种滥用现象，立法方面的努力不断增加，我们对这些法律的现状进行了综述。如果这些患者能尽早寻求医疗护理，纳洛酮在他们的护理中产生了深远影响。本文讨论了纳洛酮的药效学、其在医疗环境中的使用，以及其使用如今如何扩展到包括通过纳洛酮带回家计划的非传统提供者。
