A 31-year-old man is found in a hostel with pinpoint pupils, respiratory rate 4/min, SpO2 78% and a palpable carotid pulse. Bag-mask ventilation with

Question

A 31-year-old man is found in a hostel with pinpoint pupils, respiratory rate 4/min, SpO2 78% and a palpable carotid pulse. Bag-mask ventilation with oxygen improves SpO2 to 92%; IV access is present. What is the most appropriate drug/dose?

Accepted Answer

Naloxone 400 micrograms IV titrated to adequate ventilation

Answer

Adrenaline 1 mg IV because respirations are slow

Answer

No naloxone because oxygen saturation has improved

Answer

Naloxone 2 mg IV as a single rapid bolus to full alertness

Answer

Flumazenil 500 micrograms IV because coma is present

Opioid-associated respiratory arrest — DipIMC MCQ

A 31-year-old man is found in a hostel with pinpoint pupils, respiratory rate 4/min, SpO2 78% and a palpable carotid pulse. Bag-mask ventilation with oxygen improves SpO2 to 92%; IV access is present. What is the most appropriate drug/dose?