A)Kee the airway patent:-
- Optimize the airway position to force the flaccid tongue forward and to maximize the airway opening by place the neck and head in the ” sniffing ” position or apply the ” jaw thrust ” or place the patient in a head_down , left_sided position.
- If the airway is still not patent , examine the oropharynx and remove any obstruction or secretions by suction or by a sweep with the gloved finger.
- The airway can also be maintained with artificial airway devices.
B) breathing ( O2 therapy):-
- Simple facemask.
- Nasal cannula.
- Mechanical ventilation.
- Check blood pressure, pulse rate and rhythm.
- Secure venous access.
- ECG monitoring.
- Give saline in hypotensive patients.
- Give antihypertensive agents in hypertensive patients.
D) CNS manifestations :-
Could be coma or convulsions.
- In case of coma:- give dextrose , thiamine or naloxone.
- In case of convulsions:- give diazepam , followed by phenobarbital.
- Anticonvulsants can cause hypotension, cardiac arrest or respiratory arrest if administered too rapidly.