Question

A 32-year-old man is brought in unconscious with pinpoint pupils and a respiratory rate of 6 breaths/min after being found with heroin paraphernalia. Pulse oximetry shows 82% on room air. What is the most appropriate immediate pharmacological treatment?

Accepted Answer

Intravenous naloxone titrated to improve ventilation

Answer

Intravenous flumazenil

Answer

Intravenous midazolam

Answer

Oral naltrexone

Answer

No pharmacological treatment is required; observe only

Practice question

A 32-year-old man is brought in unconscious with pinpoint pupils and a respiratory rate of 6 breaths/min after being found with heroin paraphernalia. Pulse oximetry shows 82% on room air. What is the most appropriate immediate pharmacological treatment?