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The most important aspects of treatment are: Careful monitoring of consciousness, oxygen saturation, and breathing Support breathing and circulation if necessary Treat hypoxia with oxygen Ensure a clear airway (nasal tube, oral airway, intubation) Treat hypotension with intravenous fluids and, if necessary, vasopressors (ephedrine, norepinephrine) Provide reasonable sedation if needed Treat acute confusion and motor agitation calmly and safely Admit the patient to the appropriate level of care Follow up with evaluation and treatment of addiction through psychiatry, addiction medicine, and social services Gastric lavage (stomach pumping) and administration of activated charcoal are of limited value and should be avoided

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Smoking is the biggest cause of early death and preventable illness in the UK