Opioid intoxication and overdose Quiz: Ace Your Exams
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A 28-year-old man is brought to the emergency department via ambulance after a friend found the patient confused at home. According to the friend, the patient has been sleeping more than usual lately and has not had a bowel movement in a week. The patient has no significant medical history and is not taking any prescribed medications. Temperature is 36.5 ºC (97.7 ºF), pulse is 60/min, and blood pressure is 100/65 mmHg. On physical examination, the patient is lethargic with sluggish miotic pupils. Cardiopulmonary auscultation is unremarkable. Abdominal exam is significant for hypoactive bowel sounds. Serum sodium is 133 mEq/L and bicarbonate is 20 mEq/L. Venous pCO2 is 58 mmHg. Which of the following findings is an indication for giving IV naloxone?
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