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Opioid overdose — USMLE Step 3 MCQ

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EasyEmergency MedicineOpioid overdoseUSMLE Step 3

A 34-year-old man is found somnolent with respiratory rate 6/min and pinpoint pupils. Oxygen saturation is 84% on room air. Friends report heroin use. Blood glucose is normal and there are no signs of trauma. Which of the following is the most appropriate at this time?

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Correct answer: DSupport ventilation and administer naloxone

Opioid overdose causes respiratory depression and miosis; airway support and naloxone are indicated.

Reference: CDC opioid overdose guidance: https://www.cdc.gov/overdose-prevention/