Opioid Overdose Protocol
Depressed Consciousness Board Review QuestionsDrug overdose deaths continue to increase in the United States. From 1999 to 2017, more than 702,000 people have died from a drug overdose. In 2017, more than 70,000 people died from drug overdoses, making it a leading cause of injury-related death in the United States. Opioids—mainly synthetic opioids (other than methadone)—are currently the main driver of drug overdose deaths. Opioids were involved in 47,600 overdose deaths in 2017 (67.8% of all drug overdose deaths). Let's look at the opioid overdose protocol for opioid overdose treatment with this quick quiz question, courtesy of Med-Challenger online medical education.
Do you know the Opioid Overdose Protocol?
Try this free case - and earn CME from the full quiz online.Patient Case:
A 26-year-old man without any past medical history presents for a depressed level of consciousness.
His family states that he was last seen acting normally about 2 hours prior to being found somnolent and difficult to arouse. His pupils are 2 to 3 mm and minimally reactive.
His vitals are:
- heart rate is 52 beats/minute,
- blood pressure is 110/75 mm Hg
- respiratory rate is 6 to 8 breaths/minute,
- unlabored, but shallow,
- room air pulse oximetry is 90%.
You ensure he has a patent airway with a gag reflex. Aside from the depressed level of consciousness, his neurological exam is non-focal; his pulmonary and cardiovascular exam is normal. A bedside glucose check is 89 mg/dL.
What is the next step in management in this case?
Answer Options:
He requires a urine drug screen before a decision regarding management can be made.
The patient should immediately receive intravenous naloxone.
The patient should immediately receive oral glucose.
The patient should immediately be administered oxygen.
See the answer...
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