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Opioid toxicity — RCPSC EM MCQ

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ModerateToxicologyOpioid toxicityRCPSC EM

CTAS 1. A 28-year-old is found apnoeic beside fentanyl patches. RR is 4, SpO2 70%, pupils are pinpoint, and BP is 108/64. Bag-mask ventilation is started and IV access is obtained. What is the most appropriate initial management?

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Correct answer: E — Titrated naloxone while supporting ventilation

Opioid toxicity with respiratory depression requires ventilatory support and titrated naloxone to restore adequate breathing.

Reference: Canadian opioid overdose response guidance; Ontario Poison Centre