Approach to recreational substance exposure (pediatrics) Quiz: Ace Your Exams
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A 17-year-old girl is brought to the emergency department by EMS because her parents found her difficult to arouse in her bedroom. They report she was barely able to speak words when they were able to arouse her. She has a history of opiate abuse disorder but was participating in a rehabilitation program, and the parents were not aware of drug use in the last 6 months. Temperature is 37.0°C (98.6°F), pulse is 40/min, respiratory rate is 10/min, systolic blood pressure is 86 mmHg, and oxygen saturation is 93% on 2L nasal cannula placed by EMS. Breathing is shallow, and she only opens her eyes briefly to painful stimuli. Miosis is noted. Multiple needle marks are seen in the bilateral antecubital fossa. Finger stick glucose is 76 mg/dL. In addition to airway management, which of the following is the best next step in management?
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