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Query when: Documentation is ambiguous about whether LOC occurred A potential underlying cause is documented but relationship to syncope is unclear Orthostatic hypotension is suspected but vital signs aren't documented The timeline is unclear (current vs historical episode) Medication causation is possible but not explicitly stated Yes, syncope is an acceptable principal diagnosis for observation status when the patient requires extended monitoring to evaluate risk and determine appropriate disposition

Methadone Treatment for People Who Use Fentanyl: Recommendations

Proper training and precautions mitigate risks

So, there is no risk of overdose