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​More than one person dies each day from an opioid overdose in Washington State
Most of those deaths can be prevented , and it begins with YOU.  

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What causes an overdose? 

When there is too much opioid in the body, a person can lose consciousness and stop breathing – this is an overdose. An opioid overdose can happen suddenly or come on slowly over a few hours. Without oxygen, a person can die.

Risks for an opioid overdose include:
  • Using opioids again after your tolerance has dropped (e.g., like after being in treatment, a hospital, or jail). After a break from opioids, the body can’t handle as much as it did before.
  • Taking prescription pain medication more often or in higher doses than prescribed-or using someone else’s prescription pain medication. The dose could be too much.
  • Using heroin or pills bought on the street. Heroin and street pills often contain other substances that can be dangerously toxic - these are called synthetic opioids. Read more about fetanyl below. 
  • Using opioids with alcohol or other drugs including sleeping pills, benzodiazepines (“benzos” like Valium and Xanax), cocaine and methamphetamine.
  • Any current or chronic illness that weakens the heart or makes it harder to breathe.
  • Using opioids alone. You are more likely to die from an overdose if no one is there to help.
  • Previous overdose. A person who has overdosed before is more likely to overdose again.

What is fentanyl?

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Pharmaceutical fentanyl is a synthetic opioid pain reliever, approved for treating severe pain, typically advanced cancer pain. It is 50 to 100 times more potent than morphine. It is prescribed in the form of transdermal patches or lozenges and can be diverted for misuse and abuse in the United States.

However, most recent cases of fentanyl-related harm, overdose, and death in the U.S. are linked to illegally made fentanyl. It is sold through illegal drug markets for its heroin-like effect. It is often mixed with heroin and/or cocaine as a combination product—with or without the user’s knowledge—to increase its euphoric effects.

The rates of overdose involving synthetic opioids (such as fentanyl) are on the rise. Over 31,000 people have died from overdoses involving synthetic opioids in 2018. Read more at CDC.GOV. 


What are the signs of an opioid overdose? 

Minutes count in an opioid overdose. If you think someone has overdosed, begin with checking for the signs of an overdose:
  • The person will not wake up. Try rubbing your knuckles hard on their sternum.
  • Slow or no breathing
  • Pale, ashy, cool skin
  • Blue lips or fingernails

What do I do next?

Call 911 - Tell the dispatcher where you are and that someone is not breathing or is unconscious 
If you are trying to help in an overdose, the Washington State 911 Good Samaritan / Overdose Law protects both you and the overdose victim from dug possession charges.

If you cannot stay until help arrives, place the person on their side and where the first responders can find them. 

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Give Naloxone and rescue breaths 
Rescue Breathing 
  • Tilt head back, lift chin and pinch nose. 
  • Give a full breath. The person's chest should rise when you exhale.
  • Give a breath every 5 seconds. 
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Naloxone
  • If you have naloxone, give one dose. Naloxone can take 2-3 minutes to work - start giving rescue breaths after administering the first dose.
  • If the person is still not breathing after 2-3 minutes, give a second dose of naloxone.
  • Continue rescue breaths until the person wakes up or medical help arrives. 

It is imperative that the individual seeks medical assistance immediately following opioid reversal from naloxone, as they can easily slip back into an overdose. 

In Washington State, anyone who might have or witness an overdose can legally posses and administer naloxone. 

You can find more information regarding using naloxone for an opioid overdoses here. 

If the person wakes up and starts breathing, stay with them 

  • Encourage them to get follow-up medical care. It is imperative that the individual seeks medical assistance immediately following opioid reversal from naloxone, as they can easily slip back into an overdose, or stop breathing when the naloxone wears off (about 30-90 minutes later).
  • Encourage the person to be taken to a clinic or emergency room. This allows health care staff to -
    • ​Monitor their breathing
    • Manage any withdrawal symptoms
    • Treat any other medical conditions 

Where can I get trained on using naloxone? 

​Pacific County Health and Human Services, in collaboration with Willapa Behavioral Health, is offering FREE virtual naloxone trainings for those 18-years of age or older. Each participant will receive a free naloxone (narcan) kit. See below for training details and to register.
Additionally, you can pick up a free Naloxone (Narcan) kit in the following locations:
  • Pacific County Public Health and Human Services 
  • Peninsula Pharmacies
  • South Bend Pharmacy
  • Willapa Behavioral Health


To be contacted regarding future training opportunities, please contact:
Bethany Barnard - [email protected]

Information courtesy of stopoverdose.org  and CDC.org 
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  • Home
  • WHAT WE DO
    • Prevention 101
    • Acronym Cheat Sheet
  • OUR ROADMAP
    • Meet Our Board
    • Bylaws
    • 2021-22 Meeting Minutes
    • 2019-20 Meeting Minutes
    • 2017-18 Meeting Minutes
  • CONNECT
    • Resiliency Rockstars
    • Rockstar Nominations
    • Become a Member
  • Blog
  • Resources
  • Healthy Living & Nutrition
  • Mental Health Promotion
  • Opioid Prevention
    • Opioid Overdose Education
    • Talking To Your Friend
    • Resources for Parents and Caregivers
    • Talking To Your Youth
    • Safe Disposal
    • Safe Storage
    • Recovery & Support Groups
  • Prevention Newsletter