Board Review Questions of the Week – Opioid Overdose Algorithm

Adam WandermanEM Questions of the Week, Personal Education, Question of the Week, Urgent Care Question of the Week

Opioid overdose, Med-Challenger, Free Board Review Questions

Free opioid overdose algorithm board review questions sample from Med-Challenger.

Med-Challenger offers opioid overdose algorithm review along with everything else for the most recent American Heart Association guidelines with in-depth review questions with detailed explanations. More free American Heart Association guidelines review questions can be accessed via this week’s Quick Quiz, and via free trial of the following specialty courses:

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This week’s case-based question:


A 62-year-old woman presents after being treated at the scene for pulseless electrical activity (PEA) with epinephrine, which improved her blood pressure and increased her heart rate from 50 to 65 beats/minute. However, she remained apneic and was successfully intubated in the field. She now has a pulse between 60 and 65 beats/minute, her blood pressure is 80/20 mm Hg, and she has persistent apnea unless ventilated. The paramedics report that she did not require sedation either before or after intubation. Her pupils are miotic but symmetrical.

Results on computed tomography (CT) of her head are normal, as are initial findings on a basic metabolic profile and bedside glucose determination. She was thought to be down about 3 minutes prior to the arrival of emergency medical services.

Her blood pressure has changed only minimally after a trial of normal saline bolus 500 mL.

The first treatment of choice for this patient is which of the following?

Answer Options

norepinephrine
naloxone
dopamine
dobutamine

And the answer is …


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