A 36-year-old man with a known opioid use disorder is found unresponsive with pinpoint pupils and respiratory rate of 4 breaths/min. There are no sign...

Question

A 36-year-old man with a known opioid use disorder is found unresponsive with pinpoint pupils and respiratory rate of 4 breaths/min. There are no signs of trauma. What is the most appropriate immediate management in the emergency department?

Accepted Answer

Administer naloxone and support airway and ventilation

Answer

Obtain CT head before any intervention

Answer

Administer flumazenil

Answer

Start methadone maintenance immediately

Answer

Observe without intervention as he will likely recover spontaneously

ca-mccqe1 MCQ (SBA): Opioid overdose

A 36-year-old man with a known opioid use disorder is found unresponsive with pinpoint pupils and respiratory rate of 4 breaths/min. There are no signs of trauma. What is the most appropriate immediate management in the emergency department?