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Question 87 · LEK · Opioids

A 45-year-old woman was admitted to the Emergency Department deeply unconscious, breathing shallowly at the rate of 10/min, with pinpoint pupils, heart rate 60/min, blood pressure 110/60 mmHg, glucose concentration 115 mg/dL. Her medical history includes back pain treated with meloxicam 15 mg daily and 10 mg oxycodone on demand. Indicate the diagnosis and the treatment that should be initiated:

  1. A. opiate intoxication, 0.5 mg of flumazenil i.v.
  2. B. hypoglycemic coma, 10 mL of 40% glucose i.v.
  3. C. opiate intoxication, 0.4 mg of naloxone i.v.
  4. D. neurogenic shock, 200 mg of hydrocortisone i.v.
  5. E. anaphylactic shock, 1 mg of epinephrine i.m.
Hint

Combine pinpoint pupils, slow breathing and coma with the medication history, then pick the specific receptor antagonist.

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