A 31-year-old man with a history of intravenous heroin use is brought to the emergency department cyanosed and unresponsive with shallow respirations ...

Question

A 31-year-old man with a history of intravenous heroin use is brought to the emergency department cyanosed and unresponsive with shallow respirations at 4/min and pinpoint pupils. According to CAEP and Canadian harm-reduction guidance, what is the most appropriate immediate pharmacologic intervention?

Accepted Answer

Intravenous naloxone 2 mg bolus, titrated to adequate ventilation

Answer

Intravenous flumazenil 0.2 mg

Answer

Intravenous adrenaline bolus

Answer

Intravenous dextrose only

Answer

No antidote; proceed straight to intubation without attempts to reverse

ca-mccqe1 MCQ (SBA): Opioid overdose