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Paediatric opioid toxicity — RCPSC EM MCQ

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ModerateToxicologyPaediatric opioid toxicityRCPSC EM

A 3-year-old is brought in sleepy after visiting a grandparent. RR is 8, pupils are pinpoint, SpO2 is 88% on room air, glucose is normal, and there are missing tablets from an oxycodone bottle. What is the most likely diagnosis?

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Correct answer: D — Opioid toxicity

Respiratory depression, miosis and suspected oxycodone access strongly indicate paediatric opioid toxicity, requiring ventilation support and naloxone titration.

Reference: Poison centre toxicology guidance; Goldfrank-style ED toxicology principles