Question

A 29-year-old man is found apnoeic with pinpoint pupils and cyanosis. Bystanders report heroin use. In the emergency department, what is the most appropriate immediate pharmacologic intervention in addition to airway and ventilation support?

Accepted Answer

Intravenous naloxone titrated to restore adequate ventilation

Answer

Intravenous flumazenil

Answer

Intravenous glucose

Answer

Intravenous naloxone bolus 10 mg without titration

Answer

No pharmacologic treatment is indicated

Practice question

A 29-year-old man is found apnoeic with pinpoint pupils and cyanosis. Bystanders report heroin use. In the emergency department, what is the most appropriate immediate pharmacologic intervention in addition to airway and ventilation support?