Morphine Or Other Opioids as Heroin or Codeine Poisoning

Clinical picture: 
Pin point pupil.
Gradual loss of consiousness.
Subnormal temperature.
Stertorous breathing.
Cyanotic cold calm skin.
Treatment:
1- Antidote (Naloxone) as R/ Naloxone or Narcan.
Repeate the dose to awake the patient.
2- Gastric lavage with activated charcoal.
3- Clear air way.
4- Symptomatic treatment.
NB: Never give 100% oxygen, why?
As hypoxia is the only way to stimulate respiratory center.