Opioid withdrawal syndrome Quiz: Ace Your Exams
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A 32-year-old man is taken to the emergency department after being found unresponsive with shallow breathing at a local park. The emergency medical services team reports that a bystander administered intranasal naloxone prior to their arrival, which promptly resulted in the patient regaining consciousness. However, he soon became agitated, reporting severe muscle aches, abdominal cramping, and nausea. The patient is refusing to provide any additional medical history. Temperature is 37.5°C (99.5°F), blood pressure is 160/90 mmHg, heart rate is 118/min, respiratory rate is 20/min, and oxygen saturation is 98% on room air. On physical examination, the patient is restless, irritable, and diaphoretic. Piloerection is noted on the arms bilaterally and eyes are watery with dilated pupils bilaterally. ECG shows a regular rhythm, with each QRS complex preceded by a normal P wave with a consistent PR interval. Laboratory studies are ordered. Which of the following is the best next step in management?
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