A 32-year-old man is found unconscious in an alley with pinpoint pupils and shallow respirations at 6 breaths/min. There are track marks on his arms. ...

Question

A 32-year-old man is found unconscious in an alley with pinpoint pupils and shallow respirations at 6 breaths/min. There are track marks on his arms. Blood glucose is 6.1 mmol/L. What is the most appropriate immediate intervention?

Accepted Answer

Intramuscular naloxone 0.4 mg, repeated as needed

Answer

Intravenous flumazenil

Answer

Intravenous naloxone 0.04 mg, titrated as needed

Answer

Intubation only, without antidote

Answer

High-dose dextrose 50% IV bolus

ca-mccqe1 MCQ (SBA): Opioid overdose

A 32-year-old man is found unconscious in an alley with pinpoint pupils and shallow respirations at 6 breaths/min. There are track marks on his arms. Blood glucose is 6.1 mmol/L. What is the most appropriate immediate intervention?