Being Really High vs Overdosing

Really High

Muscles become relaxed

Speech is slowed/slurred

Sleepy looking

Nodding

Will respond to stimulation like yelling, sternal rub (rubbing knuckles on breast bone), pinching etc

Overdose

Deep snoring or gurgling (death rattle)

Very infrequent or no breathing

Pale, ashen, clammy skin

Heavy nod

Not responsive to stimulation

Slow heart beat /pulse

Opioids cause people to “nod out”. If a person does not respond to pain, but they are not “nodding out” this indicates a medical emergency.

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